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SLC

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Attendance Verification

This form verifies the participation in SLC classes.

Student First Name

Who is your FI?

Student Last Name

Email

Attendance verified by *

the student

a family member

with staff assistance

Name of person verifying attendance.

Attended Fall 2026

Week of 9/8/26

Week of 9/14/26

Week of 9/21/26

Week of 9/28/26

I did make up work for the missed time.

Attended Fall 2026

Week of 10/5/26

Week of 10/12/26

Week of 10/19/26

Week of 10/26/26

I did make up work for the missed time.

Attended Fall 2026

Week of 11/2/26

Week of 11/9/26

Week of 11/16/26

Week of 11/30/26

I did make up work for the missed time.

Attended Fall 2026

Week of 12/7/26

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

© 2026 Successful Learning Center, Inc. All rights reserved. No part of this material, text, design, or content may be reproduced, recreated, distributed, transmitted, displayed, or adapted in any form or by any means, including photocopying, recording, digital downloading, AI training, or other electronic, mechanical, or automated methods, without the express prior written permission of Successful Learning Center, Inc. This material is proprietary. Any unauthorized use, modification, duplication, commercial exploitation, or creation of derivative works constitutes willful copyright infringement and a material breach of use and is strictly prohibited. Successful Learning Center, Inc. will aggressively enforce its intellectual property rights to the fullest extent of the law, including seeking injunctive relief, statutory damages, and legal fees.

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