*** 1 HOUR OF ACTIVITY = 1 ABSENCE MAKE-UP*** Students Name: _______________________________ Period: ______ Date: _______________ Type of Activity: __________________________________________________________________ Instructor Signature OR Parent/Guardian Signature: _____________________________________ Home Phone: ________________________________ Work Phone: ________________________ YOU MAY ONLY USE ONE ACTIVITY, PER ABSENCE, PER SEMESTER for CREDIT (Ex.You can only use skate boarding to make up one absence all semester and can not use it again.) In order to earn credit you must explain the following in a complete paragraph: 1) Explain the physical, mental, emotional, and social benefits of your activity. 2) How does the activity encourage YOU to lead a healthy, active, fulfilling life and improve your knowledge of life-long fitness? _________________________________________________________________________________________ _________________________________________________________________________________________ _________________________________________________________________________________________ _________________________________________________________________________________________ _________________________________________________________________________________________ _________________________________________________________________________________________ _________________________________________________________________________________________ _________________________________________________________________________________________ _________________________________________________________________________________________ _________________________________________________________________________________________ _________________________________________________________________________________________ _________________________________________________________________________________________ _________________________________________________________________________________________ _________________________________________________________________________________________ _________________________________________________________________________________________ _________________________________________________________________________________________ ________________