Scribd
Upload
295 views2 pages

Health and Activity Record Form Guide

This document contains a student's general health and activity record including identification information like name, admission number, date of birth, gender, blood type, parents' names and contact details. It also records fitness parameters like body composition, muscular strength, flexibility, endurance, balance, agility, speed, power and coordination with test names and space to record scores over multiple sessions.

Uploaded by

Mount Maurya International school
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
295 views2 pages

Health and Activity Record Form Guide

This document contains a student's general health and activity record including identification information like name, admission number, date of birth, gender, blood type, parents' names and contact details. It also records fitness parameters like body composition, muscular strength, flexibility, endurance, balance, agility, speed, power and coordination with test names and space to record scores over multiple sessions.

Uploaded by

Mount Maurya International school
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd

HEALTH AND ACTIVITY RECORD

GENERAL INFORMATION
Aadhar Card No. of student___________________________________

Name____________________________________________________

Admission No._____________________ DOB ___________________

M F T __________ BLOOD GROUP__________

Mother’s Name: ____________________________________________

YOB_____________ weigh t_______________ height___________ Blood Group_______

Father’s Name : ____________________________________________

YOB_____________ weight _______________ height___________ Blood Group_______

Family Monthly Income : ____________________________

Address : _________________________________________________________________

__________________________________________________________________________

____________________________________

Phone No. _____________________ Mobile : ____________________

CWSN, Specify ______________________________________________

Signature of Parents/Guardian Date ___________


Name__________________ Roll No.____________ Class_________________

Fitness Fitness Parameter Test Name Scoring Scoring Scoring Scoring


Component
Health component Body Composition BMI

Muscular Strength Partial Curl up

Flexed/Bent arm
hang
Flexibility Sit and reach

Endurance 600m run

Balance Flamingo balance


test
Skill Component Agility Shuttle run

Speed Sprint/dash

Power Standing vertical


jump
Coordination Plate tapping

You might also like