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AttendanceVerification
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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 September Classes

Week of 9/9/24

Week of 9/16/24

Week of 9/23/24

Week of 9/30/24

I did make up work for the missed time.

Attended October Classes

Week of 10/7/24

Week of 10/14/24

Week of 10/21/24

Week of 10/28/24

I did make up work for the missed time.

Attended November Classes

Week of 11/4/24

Week of 11/11/24

Week of 11/18/24

I did make up work for the missed time.

Attended December Classes

Week of 12/2/24

Week of 12/9/24

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

Fax: (845) 395-9100

Copyright © 2025 Successful Learning Center, Inc. All rights reserved.

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