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3 - Opt-Out/Transportation Not Required

Board: School: Grade:
Student Last Name: Student First Name:


Submitted by
I acknowledge that transportation procedures will apply.
Confidentiality Statement In accordance with the Personal Information Protection and Electronic Documents Act, Article 29, Paragraph (2), personal information requested in this form will assist in providing transportation services. The information is gathered in accordance with the Education Act S.R.O. 1980, c. 129, s.166 (1).