From the "Athlete Registration Book" for Gay Games IV, an international sports competition for gays and lesbians to be held in New York City in the summer of 1994:

GENDER-TRANSITIONING PARTICIPANTS

In order to be treated according to their [chosen] gender identification, participants must provide proof of compliance with the following policies:

1. Proof of a completed legal name change to match the desired gender role.

   

2. Letter from a medical physician stating that the participant has been actively involved in hormone treatment for a minimum of two full years without any time lapse. The letter must also explain the participant's current health condition.

3. Letter from a professional mental-health therapist stating that the participant has been actively involved in psychotherapy for a minimum of eighteen months. The letter must also state that this participant has emotionally and psychologically transitioned into the desired gender role and why it would be impossible or severely detrimental for this individual to participate in his or her biologically born gender.

All individuals will have a right to appeal an adverse decision to the Board Gender Identification Committee.

[Ed.: The question of whether university athletic departments comply with Title IX law becomes that much more complicated.]

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