Marlette Elementary School Student Drop Off Opt-Out Form

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

All students in grades 5 and under will not be dropped off unless a parent, guardian or older sibling is visible when the bus arrives. If no one is present, the driver will return the student(s) to the school and parents/guardians will be contacted to pick the student(s) up.

Parents may opt-out of this safety check by completing this form.

Email *

Student Name(s) - List any special instructions *

Student Grade(s) - Please list in same order as student names. *

Teacher Name(s) - Please list in same order as student names. *

Bus Driver Name (if known)

Ceci Chapin

Amy Choike

Option 3

Tammy Dobbelaere

Melissa Klatzke

Deb Silance

Mallory Stanley

Other:

By checking the box below, I understand I am giving permission for the bus driver to drop my student off without the driver seeing an adult or older sibling at the residence. *

Yes, I agree to the above statement.

Required

Parent/Guardian Name *

Parent/Guardian Phone Number *

A copy of your responses will be emailed to the address you provided.

Submit

Clear form

Never submit passwords through Google Forms.

reCAPTCHA

Privacy Terms

This form was created inside of Marlette Community Schools. Report Abuse

Forms