Carpooling Intake Form - Catholic Memorial High School

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Carpooling Intake Form

Primary Contact(Required)

First Last

Primary Contact Phone(Required)

Primary Contact Email(Required)

Primary Contact Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Are you willing to drive?(Required)

Yes

No

When are you willing to drive?(Required)

Before School & After School

Before School

After School

How many seats do you have available?

How many people in your family need a ride?(Required)

Student Name #1

First Last

When Does Student #1 Need Ride?

Before School & After School

Before School

After School

Student Name #2

First Last

When Does Student #2 Need Ride?

Before School & After School

Before School

After School

Student Name #3

First Last

When Does Student #3 Need Ride?

Before School & After School

Before School

After School

Student Name #4

First Last

When Does Student #4 Need Ride?

Before School & After School

Before School

After School

Additional Notes:

CAPTCHA

CMH is providing this list of potential carpool participants as a courtesy to CMH families. All arrangements for carpooling shall be done by the families. CMH will not participate in creating any carpool groups or be responsible for the actions of those carpool groups

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Visit or Shadow
Tuition & Tuition Assistance
Youth Programs
Transportation
Summer Camps
Future Crusader Events

Schedule A Visit

About

Ranked as a Top STEM School in the Nation by PLTW.org and recognized by the Archdiocese of Milwaukee as an Exemplary School for Academic Excellence.

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Contact

601 E. College Avenue | Waukesha, WI 53186

Tel.: (262) 542-7101

Fax: (262) 542-1633

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To comply with the new Transparency in Coverage regulations, Christian Brothers Services creates and publishes machine-readable files on behalf of Catholic Memorial High School of Waukesha. To link to the machine-readable files, please click on the URL provided. Our company specific data will be available as of July 1^st, 2022. https://bcbsil.com/asomrf?EIN=363884439

Non-Discrimination Policy - Catholic Memorial High School of Waukesha, Inc. admits students of any race, color, national origin, and ethnic origin to all the rights, privileges, programs, and activities generally accorded or made available to students at the school. It does not discriminate on the basis of race, color, national origin, and ethnic origin in administration of its educational policies, admission policies, scholarship and loan programs, athletic and other school-administered programs.

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