P.E. Absence Make-up Sheet

Mr. Barnes’ Physical Education Make-Up Sheet for Excused Absences ONLY

(All Mile Make-Ups Must Be Made Up at Lunch By Appointment Only)

 

 

Name of Student________________Period____Date of Absence_______

 

Physical Make-Up

 

 

Make-Up Activity_________________________Date of Activity_______

 

 

Length of Activity (At Least 30 Minutes):________

 

 

Heart Rate at the End of Activity (at least 120 beats per minute):______

 

OR

 

Written Make-Up

(Minimum 250 Words Handwritten or Hand Printed)

 

Make-Up Report Subject (Fitness, Sport or Health Related):__________

 

Name of Source for Report (Television, Newspaper, Internet, Magazine,

 

Book, Other):_________________________________________________

 

Date of Source:______________Date of Report:_____________________

 

Attach Report to Sheet

 

Student Signature________________________Date:_________________

 

Parent Signature_______________________Date:_____Tele#:_________