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|  |  |  | | Make Up Work |  | Physical Education Teacher: Ms. Keetley
Student’s name: _____________________ Date(s) absent: _____________________ Time owed: _____________________ Period: _____________________
Activity Log: For everyday a student is absent he/she must make up 65 minutes of exercise. This time can be broken up. The type of activity must be aerobic (exercise that increases the need for more oxygen).
Please print this page and where it reads "Activity Log" record the date, activity, and time spent doing that activity. This table is complete once the total time equals the amount of time the student had to make up. For example: one absence equals 65 minutes, two absences equals 130 minutes, etc………
Example: Date Activity Total Time 9/29 Basketball = 30 minutes 10/3 Flag Football = 20 minutes 10/5 Walk/Jog = 15 minutes
Total: 65 minutes
Activity Log: Date Activity Total Time = = = = = = Total:
Please be descriptive when writing down the activity. Parents/Guardians please sign on the bottom of the paper. It is to verify that the student performed the activity/activities listed above.
Parent/ Guardian signature: ________________________________________
Parent/ Guardian please print name: ________________________________________
Phone number: ________________________________________
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