The Active Lifestyle Activity Log - President'S Council On Physical Fitness & Sports
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1The Active Lifestyle Activity Log
Participant Name _______________________________________________ Date Started __________________________
Date Completed __________________________
# of Minutes
# of Minutes
or Pedometer
or Pedometer
Week 1
Activities
Steps
Week 2
Activities
Steps
Mon
Mon
Tues
Tues
Wed
Wed
Thurs
Thurs
Fri
Fri
Sat
Sat
Sun
Sun
Participant Signature
Date
Participant Signature
Date
# of Minutes
# of Minutes
or Pedometer
or Pedometer
Week 3
Activities
Steps
Week 4
Activities
Steps
Mon
Mon
Tues
Tues
Wed
Wed
Thurs
Thurs
Fri
Fri
Sat
Sat
Sun
Sun
Participant Signature
Date
Participant Signature
Date
# of Minutes
# of Minutes
or Pedometer
or Pedometer
Week 5
Activities
Steps
Week 6
Activities
Steps
Mon
Mon
Tues
Tues
Wed
Wed
Thurs
Thurs
Fri
Fri
Sat
Sat
Sun
Sun
Participant Signature
Date
Participant Signature
Date
Verification
I certify that I have met the requirements of the Presidential Active Lifestyle Award
[ ] I have met my daily activity goal for at least 5 days
Participant Signature __________________________________________________
each week.
Supervising Adult’s
[ ] I have performed my physical activities for at
Signature (if applicable) _________________________________________________
least 6 weeks.
Note: Submit this paper log to your teacher or group administrator, or keep for your own records.
Please do not submit to the President’s Challenge office. See inside back cover for award ordering information.
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