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SLC

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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 Spring 2026

Week of 2/2/26

Week of 2/9/26

Week of 2/16/26

Week of 2/23/26

I did make up work for the missed time.

Attended Spring 2026

Week of 3/2/26

Week of 3/9/26

Week of 3/16/26

Week of 3/23/26

Week of 3/30/26

I did make up work for the missed time.

Attended Spring 2026

Week of 4/6/26

Week of 4/13/26

Week of 4/20/26

Week of 4/27/26

I did make up work for the missed time.

Attended Spring 2026

Week of 5/4/26

Week of 5/11/26

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

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

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