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Program Opt-Out Form

Parents/guardians who do not wish for their student to participate in the Public Library Student Access Program may opt-out of having their student participate.

To opt your student out of the program, please complete the form below:

Student First Name(Required)

Student Last Name(Required)

Student's School(Required)

Student ID Number

Don't know your student's ID number? You can find the number on their Student ID card or on the Today tab in Infinite Campus.

Parent/Guardian First Name(Required)

Parent/Guardian Last Name(Required)

Parent/Guardian Email

If provided, a confirmation email will be sent to this address once form is submitted.

Opt-Out Acknowledgement(Required)

I wish to opt my student out of participation in the Public Library Student Access Program and understand that in doing so, my student will be unable to use their Dubuque Community School District Student ID card to access public library materials. By clicking below, I certify that I am the parent/guardian of the student listed above.

Yes, I wish to opt my student out of the Public Library Student Access Program