Name___________________________ Period____

Teacher:  Mr. Parnell       aparnell@lwsd.org          

ABSENT MAKE-UP FORM

This assignment must be completed and turned in one week after your absence.

Date(s) absent ________________________________  

You are required to complete 30 minutes of physical activity for EACH DAY you were absent.

For example:  If you were gone 3 days you would need to make up 1 ½ hours.  You are only allowed to make up 10 absences per semester.

How many days are you making up?  ____    How many minutes?  ______

Describe how your activity helped improve your physical fitness.  (flexibility, endurance, and/or strength)

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Parent Signature/Coaches Signature ______________________________________ Date______________