NO. 0000109492 PETITION FOR MINOR'S NAME CHANGE DISTRICT COURT FOR THURSTON COUNTY, WASHINGTON IN THE MATTER of the Change of Name of APRIL MCQUADE Petitioner is a resident of Thurston County, Washington. Petitioner does not seek this name change to defraud or mislead any person. Petitioner declares further: [x] I wish to change my minor's name from: APRIL BREEZE MCQUADE to: SAMUEL WOLF RACKLEY [x] Minor's age is 14 Years This application is made for the following reasons. Include reasons why the requested name change will promote the minor's best interests. My child does not identify with the birth name, my child identifies as male. The name causes gender dysphoria which leads to depression. I declare under penalty of perjury under the laws of the State of Washington that the foregoing statements in this petition are true and correct and that I have checked all boxes that pertain to the named minor. Signed at Olympia, WA 985', on Jan 8, 2016 /s/HEATHER RACKLEY Petitioner's Signature A hearing on this Petition will be held on February 25, 2016 at 9:00 am Any minor over the age of 10 whose name is requested to be changed should be present in person at the hearing. IDX-677947 January 14, 21 ,28