Name __________________________ Roll #___________ Per______________

Tch___________

Month_____________________

Cooper Pirates Physical Education

Monthly Exercise Log
It is recommended for students to be actively engaged in moderate to vigorous physical
activity for at least 30 minutes a minimum of 4 days each week. A proper warm-up and cool-
down is advisable. To ensure that students are making strides towards exhibiting a physically
active life-style we are requiring a minimum of 8 hours per month to be completed, logged,
signed and turned in to your PE teacher. Your log should include all physical activity for that
month. Activities may include: jogging, swimming, rollerblading, dance, sport practice of
choice, bike riding, etc Please sign your childs log sheet when their activity is completed.

DATE ACTIVITY LEVEL OF AMOUNT PARENT

INTENSITY OF TIME SIGNATURE
(Moderate or Vigorous)

Total Hours _______________