The Student Has MET/ NOT Metthe DPA Requirements for the Above Month

MulgraveDaily Physical Activity (DPA) Monthly Log

NAME: ______HR: _____

Month: September / List all physical activities participated in during the day.
Remember that students need to participate in a minimum of 30 minutes per day. Each activity must last at least 10 minutes.
Example: Dance class (70 min), walked at lunch (20 min), Soccer practice (80 min) / Total
Minutes
Ex:
170 min
Week # 1
(Please Circle)
Met/ Not Met
______
(HRT initials) / M / Sunrise Basketball (60 min); Volleyball Coaching (60 min) / 120 min
T / Volleyball Practice (90 min); Volleyball Game (120 min) / 210 min
W / P.E (85 min); Volleyball Practice (90 min); Volleyball for Life (90 min); Volleyball Coaching (60 min) / 325 min
Th / Volleyball Game (120 min) / 120 min
F / Volleyball Practice (120 min) / 120 min
Week # 2
(Please Circle)
Met/ Not Met
______
(HRT initials) / M / Sunrise Basketball (60 min); Volleyball Coaching (60 min) / 120 min
T / Volleyball Practice (90 min); Volleyball Game (120 min) / 210 min
W / Volleyball Practice (90 min); Volleyball for Life (90 min); Volleyball Coaching (60 min) / 240 min
Th / P.E. (85 min); Volleyball Game (120 min) / 205 min
F / Volleyball Practice (120 min) / 120 min
Week # 3
(Please Circle)
Met/ Not Met
______
(HRT initials) / M / Sunrise Basketball (60 min); Volleyball Coaching (60 min) / 120 min
T / Volleyball Practice (90 min); Volleyball Game (120 min) / 210 min
W / P.E (85 min); Volleyball Practice (90 min); Volleyball for Life (90 min); Volleyball Coaching (60 min) / 325 min
Th / Volleyball Game (120 min) / 120 min
F / Volleyball Practice (120 min) / 120 min
Week # 4
(Please Circle)
Met/ Not Met
______
(HRT initials) / M / Sunrise Basketball (60 min); Volleyball Coaching (60 min) / 120 min
T / Volleyball Practice (90 min); Volleyball Game (120 min) / 210 min
W / Volleyball Practice (90 min); Volleyball for Life (90 min); Volleyball Coaching (60 min) / 240 min
Th / P.E. (85 min); Volleyball Game (120 min) / 205 min
F / Volleyball Practice (120 min) / 120 min

The student has MET/ NOT METthe DPA requirements for the above month.

HR Teacher Signature: ______

Month: October / List all physical activities participated in during the day.
Remember that students need to participate in a minimum of 30 minutes per day. Each activity must last at least 10 minutes.
Example: Dance class (70 min), walked at lunch (20 min), Soccer practice (80 min) / Total
Minutes
Ex:
170 min
Week # 1
(Please Circle)
Met/ Not Met
______
(HRT initials) / M / Sunrise Basketball (60 min); Volleyball Coaching (60 min) / 120 min
T / Volleyball Practice (90 min); Volleyball Game (120 min) / 210 min
W / P.E (85 min); Volleyball Practice (90 min); Volleyball for Life (90 min); Volleyball Coaching (60 min) / 325 min
Th / Volleyball Game (120 min) / 120 min
F / Volleyball Practice (120 min) / 120 min
Week # 2
(Please Circle)
Met/ Not Met
______
(HRT initials) / M / Sunrise Basketball (60 min); Volleyball Coaching (60 min) / 120 min
T / Volleyball Practice (90 min); Volleyball Game (120 min) / 210 min
W / Volleyball Practice (90 min); Volleyball for Life (90 min); Volleyball Coaching (60 min) / 240 min
Th / P.E. (85 min); Volleyball Game (120 min) / 205 min
F / Volleyball Practice (120 min) / 120 min
Week # 3
(Please Circle)
Met/ Not Met
______
(HRT initials) / M / Sunrise Basketball (60 min); Volleyball Coaching (60 min) / 120 min
T / Volleyball Practice (90 min); Volleyball Game (120 min) / 210 min
W / P.E (85 min); Volleyball Practice (90 min); Volleyball for Life (90 min); Volleyball Coaching (60 min) / 325 min
Th / Volleyball Game (120 min) / 120 min
F / Volleyball Practice (120 min) / 120 min
Week # 4
(Please Circle)
Met/ Not Met
______
(HRT initials) / M / Sunrise Basketball (60 min); Volleyball Coaching (60 min) / 120 min
T / Volleyball Practice (90 min); Volleyball Game (120 min) / 210 min
W / Volleyball Practice (90 min); Volleyball for Life (90 min); Volleyball Coaching (60 min) / 240 min
Th / P.E. (85 min); Volleyball Game (120 min) / 205 min
F / Volleyball Practice (120 min) / 120 min

The student has MET/ NOT METthe DPA requirements for the above month.

HR Teacher Signature: ______

Month: November / List all physical activities participated in during the day.
Remember that students need to participate in a minimum of 30 minutes per day. Each activity must last at least 10 minutes.
Example: Dance class (70 min), walked at lunch (20 min), Soccer practice (80 min) / Total
Minutes
Ex:
170 min
Week # 1
(Please Circle)
Met/ Not Met
______
(HRT initials) / M / Sunrise Basketball (60 min); Volleyball Coaching (60 min) / 120 min
T / Volleyball Practice (90 min); Volleyball Game (120 min) / 210 min
W / P.E (85 min); Volleyball Practice (90 min); Volleyball for Life (90 min); Volleyball Coaching (60 min) / 325 min
Th / Volleyball Game (120 min) / 120 min
F / Volleyball Practice (120 min) / 120 min
Week # 2
(Please Circle)
Met/ Not Met
______
(HRT initials) / M / Sunrise Basketball (60 min); Volleyball Coaching (60 min) / 120 min
T / Volleyball Practice (90 min); Volleyball Game (120 min) / 210 min
W / Volleyball Practice (90 min); Volleyball for Life (90 min); Volleyball Coaching (60 min) / 240 min
Th / P.E. (85 min); Volleyball Game (120 min) / 205 min
F / Volleyball Practice (120 min) / 120 min
Week # 3
(Please Circle)
Met/ Not Met
______
(HRT initials) / M / Volleyball (30 min) / 30 min
T / Volleyball (30 min) / 30 min
W / P.E (85 min); Basketball (90 min); Volleyball for Life (90 min) / 265 min
Th / Basketball ( 120 min) / 120 min
F / Basketball (90 min) / 90 min
Week # 4
(Please Circle)
Met/ Not Met
______
(HRT initials) / M / Basketball (120 min); Basketball Coaching (60 min) / 180 min
T / Basketball Game (120 min) / 120 min
W / Basketball Practice (90 min); Basketball Coaching (60 min); Volleyball for Life (90 min) / 240 min
Th / P.E. (85 min); / 85 min
F / Basketball Practice (120 min) / 120 min

The student has MET/ NOT METthe DPA requirements for the above month.

HR Teacher Signature: ______

Month: December / List all physical activities participated in during the day.
Remember that students need to participate in a minimum of 30 minutes per day. Each activity must last at least 10 minutes.
Example: Dance class (70 min), walked at lunch (20 min), Soccer practice (80 min) / Total
Minutes
Ex:
170 min
Week # 1
(Please Circle)
Met/ Not Met
______
(HRT initials) / M / Basketball (120 min); Basketball Coaching (60 min) / 180 min
T / Basketball Game (120 min) / 120 min
W / P.E (85 min); Basketball (90 min); Basketball Coaching (60 min) ; Volleyball for Life (90 min) / 325 min
Th / Basketball Game ( 120 min) / 120 min
F / Basketball (90 min) / 90 min
Week # 2
(Please Circle)
Met/ Not Met
______
(HRT initials) / M / Basketball (120 min); Basketball Coaching (60 min) / 180 min
T / Basketball Game (120 min) / 120 min
W / Basketball Practice (90 min); Basketball Coaching (60 min); Volleyball for Life (90 min) / 240 min
Th / P.E. (85 min); / 85 min
F / Basketball Practice (120 min) / 120 min
Week # 3
(Please Circle)
Met/ Not Met
______
(HRT initials) / M / Basketball (120 min); Basketball Coaching (60 min) / 180 min
T / Basketball Game (120 min) / 120 min
W / P.E (85 min); Basketball (90 min); Basketball Coaching (60 min) ; Volleyball for Life (90 min) / 325 min
Th / Basketball Game ( 120 min) / 120 min
F / Basketball (90 min) / 90 min
Week # 4
(Please Circle)
Met/ Not Met
______
(HRT initials) / M / Basketball (120 min); Basketball Coaching (60 min) / 180 min
T / Basketball Game (120 min) / 120 min
W / Basketball Practice (90 min); Basketball Coaching (60 min); Volleyball for Life (90 min) / 240 min
Th / P.E. (85 min); / 85 min
F / Basketball Practice (120 min) / 120 min

The student has MET/ NOT METthe DPA requirements for the above month.

HR Teacher Signature: ______

Month: January / List all physical activities participated in during the day.
Remember that students need to participate in a minimum of 30 minutes per day. Each activity must last at least 10 minutes.
Example: Dance class (70 min), walked at lunch (20 min), Soccer practice (80 min) / Total
Minutes
Ex:
170 min
Week # 1
(Please Circle)
Met/ Not Met
______
(HRT initials) / M / Basketball (120 min); Basketball Coaching (60 min) / 180 min
T / Basketball Game (120 min) / 120 min
W / P.E (85 min); Basketball (90 min); Basketball Coaching (60 min) ; Volleyball for Life (90 min) / 325 min
Th / Basketball Game ( 120 min) / 120 min
F / Basketball (90 min) / 90 min
Week # 2
(Please Circle)
Met/ Not Met
______
(HRT initials) / M / Basketball (120 min); Basketball Coaching (60 min) / 180 min
T / Basketball Game (120 min) / 120 min
W / Basketball Practice (90 min); Basketball Coaching (60 min); Volleyball for Life (90 min) / 240 min
Th / P.E. (85 min); / 85 min
F / Basketball Practice (120 min) / 120 min
Week # 3
(Please Circle)
Met/ Not Met
______
(HRT initials) / M / Basketball (120 min); Basketball Coaching (60 min) / 180 min
T / Basketball Game (120 min) / 120 min
W / P.E (85 min); Basketball (90 min); Basketball Coaching (60 min) ; Volleyball for Life (90 min) / 325 min
Th / Basketball Game ( 120 min) / 120 min
F / Basketball (90 min) / 90 min
Week # 4
(Please Circle)
Met/ Not Met
______
(HRT initials) / M / Basketball (120 min); Basketball Coaching (60 min) / 180 min
T / Basketball Game (120 min) / 120 min
W / Basketball Practice (90 min); Basketball Coaching (60 min); Volleyball for Life (90 min) / 240 min
Th / P.E. (85 min); / 85 min
F / Basketball Practice (120 min) / 120 min

The student has MET/ NOT METthe DPA requirements for the above month.

HR Teacher Signature: ______