Attendance Verification/explanation Form

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Attendance Verification/Explanation Form
Student Name __________________________________Current Grade ___________
Student Attendance Record
Days Present
Day Absent
School year 2011-2012
____________
__________
Name of School Attended_______________________________________________
***********************************************************************
School year 2012-2013
____________
__________
Name of School Attended_______________________________________________
***********************************************************************
School year 2013-2014
____________
__________
Name of School Attended_______________________________________________
***********************************************************************
I certify that the above information is true and is verifiable through my child’s school.
Parent/Guardian Signature _________________________________________________
***********************************************************************
Explanation of Absences
(Necessary only if attendance is not at least 96%)
______________________________________________________
______________________________________________________
______________________________________________________
______________________________________________________
______________________________________________________
______________________________________________________
______________________________________________________
______________________________________________________
______________________________________________________
_____________________________________________________

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