WIMA & WIHI Carpool Request Form for 2024-2025

Hello WIMA & WIHI Families,

This form is to be completed by any WIMA or WIHI family interested in carpooling by the means of driving or participating in, with other WIMA and WIHI families.

As a Reminder - This is a parent/guardian led carpool.

The Washtenaw International High School & Middle Academy will not and does not provide carpool-matching services for families.

Carpool coordination is left up to each registered family.

Families are welcome contact any family on the carpool spreadsheet and/or map (a link to both will be provided in August) to set up carpooling arrangements.

Having a gmail account works best for the Carpool spreadsheet & Map.

Any questions, please contact Kelly Cartwright, Enrollment Coordinator, at Kcartwright@wihi.org for assistance.

Parent/Legal Guardian Name:*

First NameLast Name

Parent/Guardian Email:*

example@example.com

Parent/Guardian Phone Number:*

Area CodePhone Number

Best way to contact you:*

EmailPhoneText

Student Information:*

Address of Student:*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Is this the same address for drop off?*

YesNo

If No, please list Drop off Address:*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Do you need a Carpool:*

YesNo

If Yes - when would you need it? (select all that apply*

Are you able to drive a carpool?*

YesNoOn Occasion

If Yes or On Occasion- when can you drive? (select all that apply)*

Times you can drive (select all that apply):*

Morning (school start)Afternoon (school dismissal)After ClubsHalf-Day Dismissal

Any additional information you would like to include:

Parent/Legal Guardian Signature:*

WIMA & WIHI Carpool Request Form

Parent/Guardian Information:

Student Information:

Carpool Info: