This partnership will begin for the 2018-2019 school year and will provide access to PPLD resources for all District 11 students. Some of the great things students will have access to include:

I do not want my child to have access to a Pikes Peak Library District card, and am opting my child out.

Please fill out one opt-out form for each child each school year to keep District 11 current on your preference. You may revoke this opt-out at any time to provide your child with a PPLD card.

Student Name______________________________________

Parent Signature____________________________________

Date______________________________________________

I understand I will have to fill this form out for each school year to opt my child out___________________ (initials)