INC COVID Academic Support Program Registration Form ! In Control’s COVID Academic Support Program will provide a safe space to help your 7th-12th grade student facilitate online learning. In Control Staff will ensure a safe academic environment by limiting participation to a maximum of 15 students per session and will provide breakfast and lunch with added breaks for your student. Through this program, it is also the responsibility of the student and family to be engaged and committed to your student’s academic progress. Directions: 550 East Main - Walk into front door then downstairs and to the right. Doors open at 7:30am and your students will be required to arrive on time and ready to learn. Learning Cycle: Choose 1 Learning Cycle:Oct 19 – Nov 20 Student Demographic Information: Parent-Guardian Information: Emergency Contact Information: Acknowledgment: In Control reserves the right to suspend/terminate participation in the COVID Academic Support Program. by checking this box you sign that the above information is true to the best of your knowledge.