In this Sept. 9, 2017 file photo, from left: Louie Borgen, 19, Skylar Robinson, 16, Timmie Flock, 23, and Theo Calhoun, 20, pose outside the LGBT youth center, in Tacoma, Wash. Washington natives soon might be able to change the gender designation on their birth certificates to one that is neither male nor female. Call it gender X or the more clinical term: non-binary. The group, all members of Tacoma's Oasis Youth Center, would welcome a non-binary gender option on Washington State birth certificates. (Craig Sailor /The News Tribune via AP) **FILE**
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