Physical Education Make-Up Sheet:
Family or Sports
Name of Class:
_________________________
Period: _________________________
Teacher:
_________________________
Briefly Describe Activity
Performed
Student Signature:_______________________________
Date: ______________
Parent Signature:_______________________________
Approximate Time Engaged in
Activity
__________ minutes
Must
be a minimum of 50 minutes for a 62 minute class period.
_________________________________________________________________________________
Physical Education Make-Up Sheet:
Weight Room
Student Name:
_________________________
Name of Class:
_________________________
Period: _________________________
Teacher:
_________________________
Activity
Performed
(check
one)
_____ 30 minute jog
on the treadmill at level 4.5
_____ 15 miles on the
recumbent bike
_____ 30 minutes on
the elliptical
_____ 50 minutes of
weightlifting
Date: __________
Supervisor Signature:_____________________________________
Student Signature:_______________________________
Date: __________
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