(To Use this file:  From the edit menu of your browser, select the SELECT ALL choice.   Again using the edit menu, select COPY.  Open a blank word processing document and PASTE.  Fill in the following form, print and hand it in your next PE class.)

St. Monica School

Physical Education Make-Up  2006-2007                                                                      

Name_________________

Grade___

To help you make up points you have lost through illness, injury, or other circumstances beyond your control you may substitute other activities to help you fulfill your requirement.

I have listed a variety of activities below from which you may choose. Your options however are not limited to those listed. If your activity is different from those listed below it must be pre-approved by your instructor  (just about anything involving movement of some type will be okay).

To obtain credit, fill out this form completely including verification of the activity by either your parent  or coach.  

Each day of Physical Education missed requires an activity which takes place  a minimum of 30 minutes to make up your missed day.  You may make up only one period per day.

SAMPLE ACTIVITIES:

Team sports-

football, soccer, basketball, baseball, hockey, softball  etc…

Day and date of Physical Education class missed______________________________

Activity description________________________________

Date of Activity ______________________Duration of Activity___________________

Student Signature__________________________________

Parent/Coach______________________________________

This form needs to be completed and turned in no later than two weeks after the absence in order to ensure credit.