PPMS PE Class Absence/Non-Participation (NP) Make-Up Form

Name______Date ______Period ______Teacher:______

To make up an absence or non-participation and earn daily PE points, you must complete an appropriate activity for a minimum of 30 minutes. The activity should be performed at a moderate to vigorous exercise intensity (see definition on back page).

·  Record your date of absence or NP, date of make-up, warm up exercises, activity type, intensity (I),and total time exercising.

·  Have a parent/guardian/coach sign off to verify that you completed the activity.

·  You have 5 days to make-up an excused absence or non-participation.

Activities Ideas

Bicycling Roller blading Rock Climbing Jogging Martial Arts Snow Boarding Hiking

Swimming Dance Skiing Aerobics Jump rope Walking Other Activities?

Skate boarding Racquet Sports Power Walking Kayaking Wt. Training Team Sports

Day # / Date Absent / Date Made Up / Warm Up / Activity / *Intensity / Cool Down / Time

DAY 1

DAY 2
DAY 3
DAY 4
DAY 5

*Recording Intensity: M = Moderate, M-V = Moderate to Vigorous, V = Vigorous

Signature of Parent/Guardian/Coach ______Date ______