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Decline Transportation

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

Submitted by
I acknowledge that transportation procedures will apply.

Chatham Kent Lambton Administrative School Services (“CLASS”) acts on behalf of your school board and contracts transportation service providers to arrange transportation to and from school for eligible students. The personal information you provide on this form will be shared with the relevant staff of CLASS, school board and transportation provider for the purpose of providing appropriate and safe transportation. The information collected is treated as described in our privacy policy and in accordance with applicable laws.

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).