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 following state guidelines for the safety and health of our students, staff, and community (Masks are required to stay on while in the building and social distancing will be in practice) by limiting participation to a maximum of 15 students per session and we 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. * Masks and Hand Sanitizer will be provided 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.