Physical Education Activity Log printable pdf download

Name:______________________________________

Desert Sky Physical Education Activity Log

This form records your after school activities for each week. Each

week you must do at least 3 days of activities for 20 minutes or

longer. Record your activities and on the spaces below and have a

parent or guardian sign (the form MUST be signed by a parent or

guardian for credit).

Examples of accepted activities:

•walking/jogging/hiking

•sports (soccer, football, basketball, softball, etc.)

•swimming

•martial arts

•rollerblading/bicycling/skateboarding

Example

Date: 1-19-08

Activity:

Walked Dog

Time: 20 min

Date: 1/20/08

Activity:

Swimming

Time: 60 min

Date: 1-21-08

Activity:

Football Practice

Time: 2 hours

Fitness Component: Cardiovascular Endurance

Mrs. Mom or Mr. Dad

Parent Signature:

Week 1

Date_____________Activity_________________________________Time_____________

Fitness Component________________________________________________________

Parent Signature__________________________________________________________

Week 2

Date_____________Activity_________________________________Time_____________

date_____________Activity_________________________________Time_____________

Fitness Component________________________________________________________

Parent Signature__________________________________________________________

Week 3

Date_____________Activity_________________________________Time_____________

Fitness Component________________________________________________________

Parent Signature__________________________________________________________

Physical Education Activity Log