Application For Public School Exemption Certificate-Affidavit Of Affirming-Form Sdcl 13-27-3 Page 2

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AFFIDAVIT OF AFFIRMING
The following affidavit has been either notarized or witnessed by TWO or more witness, swearing or
affirming that the child(ren) identified on the attached request for excuse is the same person appearing
on the child's certified birth certificate.
SIGNATURES
Parent(s) Guardians ______________________________________________
First Witness ___________________________________________________
Second Witness _________________________________________________

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