LibraryPASS
Opt Out Form
Student ID (Lunch Number, Starts with 778)
*
Student computer login (ex: 9mmouse@students.rockdale.k12.ga.us)
*
Student Name
*
First Name
Last Name
Name of Parent/Guardian completing this form
*
First Name
Last Name
Phone Number of Parent/Guardian completing the form
*
Please enter a valid phone number.
Submit
Should be Empty: