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Grade 12 Daily Physical Activity Form

Grade 12 Daily Physical Activity Form

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Published by Delview Secondary

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Categories:Types, School Work
Published by: Delview Secondary on Oct 28, 2010
Copyright:Attribution Non-commercial

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04/28/2013

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DAILY PHYSICAL ACTIVITY FORM – GR 12

Name: _____________________________________ Student Number: _____________________________ Grade_______________________ Phone Number: ______________

Semester ONE – September to January
I have completed 150 minutes of Daily Physical Activity each week for this semester. I have NOT completed 150 minutes of Daily Physical Activity each week for this semester. I am currently taking PE I have a medical exemption – must be approved by Mr. Robinson or Mr. Younger Please list examples of the activities that you have done to meet your Daily Physical Activity requirement – must be completed

_____________________ Student Signature

__________________________ Parent Signature

__________________ Date

Must be returned to Mr. Robinson by December 3, 2010 – turn over for Semester 2

DAILY PHYSICAL ACTIVITY FORM – GR 12
Name: _____________________________________ Student Number: _____________________________ Grade_______________________ Phone Number: ______________

Semester TWO – February to June
I have completed 150 minutes of Daily Physical Activity each week for this semester. I have NOT completed 150 minutes of Daily Physical Activity each week for this semester. I am currently taking PE I have a medical exemption – must be approved by Mr. Robinson or Mr. Younger Please list examples of the activities that you have done to meet your Daily Physical Activity requirement – must be completed

_____________________ Student Signature

__________________________ Parent Signature

__________________ Date

Must be returned to Mr. Robinson by May 6, 2011 – turn over for Semester 1

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