CMS
PE Make-up Form
Each student can earn up to 10
points per day for participation in class activity. All
absences must be made up unless it is due to a school function that takes the
student away from class
(i.e. field trip).
Listed below is a list of acceptable activities that may be used
to complete this assignment. Students
have 1 school day for each absence after
they come back to school to make it up. (Example: 3 days out, then 3 school
days to make it up). This form may be used for more than one absence, if
necessary. One time of any activity
counts for each day absent. (For example
you may walk for 30 minutes twice for 2 days absent).
A parent/guardian, team coach, and/or class instructor may sign to
verify any activity completed.
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Student’s name:
__________________________________________________________(Print)
PE Teacher: _______________________________________ Grade _____ Period _____
Number of days absent ______
Acceptable activities to be completed:
Ř Continuous walking
for 30 minutes number of times completed _____
Ř Jogging continuously for 15 min. number
of times completed _____
Ř Continuous cycling for 45 min. number of times completed _____
Ř Yard work for 30 min. number of days completed _____
Ř Vacuuming for 30 min. (approx. 3 rooms) number of days completed _____
Ř Practice with an organized group* number of days completed _____
TOTAL
(must equal # of days absent)
___________
*This can be a sports team (school or rec.), cheerleading, dance,
karate, judo, aerobic, or
swim
class, or any other physical activity that is at least 30 minutes long.
Signature of
person(s) verifying work completed:
Name__________________________________________________ Date
_______________
Name __________________________________________________ Date
_______________
Note: One person may
verify all your activities, use more only
if needed.
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P.E. Teacher’s Comments: