Opt Out Application for Transportation 2020/2021 Full Return to School

Opt Out Application for Transportation 2020/2021 Full Return to School
Important Note: This form does not register a child for school. Please contact OCDSB or OCSB to register your child. There are no empty seats available at this time.
- OSTA understands that some parents may prefer making their own transportation arrangements rather than using OSTA’s services during Full or Partial Return to School.
- Opting Out of Transportation is only temporary. Parents/Guardians of eligible students may request transportation be re-instituted by completing a Transportation Issues form at any time.
- A new form must be completed for each eligible student

Acknowledgement of Eligibility and Authority:
I am the parent/guardian of (student name) blanks and am authorized to make changes to the student's transportation.
- I will comply with Policy & Procedures set forth by OSTA.
- I acknowledge that my child cannot ride the school bus until they are assigned to the bus as an authorized rider.
- I acknowledge my child must be enrolled at the school I have selected in this application form.
- I understand this application will not be processed if my home or childcare address is not eligible and there will be no notification if this is the case.
- I understand the Ottawa Student Transportation Authority (“OSTA”) acts on behalf of my school board and contracts transportation service providers to arrange transportation to and from school for eligible students. The personal information I provide on this form will be shared with the relevant staff of OSTA, school board and transportation provider for the purpose of providing appropriate and safe transportation. The information collected is treated as described in OSTA’s privacy policy and in accordance with applicable laws.
Parent/Guardian Name *

First Name Last Name
Date *

Month Day Year
Date

Opt Out Application for Transportation 2020/2021 Full Return to School
Student Information
Student Name *

First Name Last Name
Birth Date *

Month Day Year
Date
Grade *
School: *
Confirmation of Transportation Needs *

Student does not require transportation in either AM or PM Student does not require transportation in AM Student does not require transportation in PM
If you are opting out of transportation, how will your child be getting to school? *

My child is not returning to school and will be doing distance learning. Drive all the way Drive part-way and Walk-A-Block Walk or Bike all the way Car Pool
Parent/Guardian
Submitted by *

First Name Last Name
Email Address
example@example.com
Phone Number *

Area Code Phone Number
Alternate person if you need assistance

First Name Last Name
Alternate person Email
example@example.com
Alternate person Phone Number

Area Code Phone Number
Signature of person submitting the form: To sign place your cursor anywhere in the signature box and hold down your mouse button and draw in the box. *

Parent/Gurdian Signature Clear
Zone Email
example@example.com
Should be Empty:

Student Information