Covington Academy Information Request Form

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Thank you for your interest in Covington Academy! Please complete the form below to receive information on the programs we have available.

First and Last Name *

Email Address *

Student's First and Last Name *

Student's Current Grade Level (2025-2026) *

Please select an option below: *

My child has an IEP (Individualized Education Plan)

My child has a 504 Plan

My child does not have an IEP or a 504 Plan

I'm not sure

Please select the program you're interested in at Covington Academy: *

How did you hear about us? *

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