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AttendanceVerification
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Attendance Verification

This form verifies the participation in SLC classes.

Student First Name

Student Last Name

Email

Who is your FI?

Attendance verified by *

the student

a family member

with staff assistance

Name of person verifying attendance.

Attended September Classes

Week of 9/8/25

Week of 9/15/25

Week of 9/22/25

Week of 9/29/25

I did make up work for the missed time.

Attended October Classes

Week of 10/1 - 10/5

Week of 10/6/25

Week of 10/13/25

Week of 10/20/25

Week of 10/27/25

I did make up work for the missed time.

Attended November Classes

Week of 11/3/25

Week of 11/10/25

Week of 11/17/25

I did make up work for the missed time.

Attended December Classes

Week of 12/1/25

Week of 12/8/25

Week of 12/15/25

I did make up work for the missed time.

I approve payment to the SLC.

Signature

Thank you for verifying your attendance!

Email: info@successfullearningcenter.com

Office Hours: Tues-Thurs 10am-2pm

Call Us: (845) 662-1322, Ext 1

Copyright © 2026 Successful Learning Center, Inc. All rights reserved.

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