Opt-Out Transportation

District

School

Grade

Student Last Name

Student First Name

OEN

You are declining transportation for the following school year:

If you wish to continue, please select whether you would like to decline AM or PM or BOTH:

BOTH

Please select one

*If you would like to opt back in for transportation, please contact the transportation office.

Submitted by I acknowledge that transportation procedures will apply.

Last Name

First Name