Physical Education Log Sheet

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Grades 1 - 6
Physical Education Log
100 Minutes Weekly
Name
____________________________
Week/Date: Activity
Number of
Week/Date: Activity
Number of
Steps/Minutes
Steps/Minutes
Mon.
Mon.
Tue.
Tue.
Wed.
Wed.
Thur.
Thur.
Fri.
Fri.
Sat.
Sat.
Sun.
Sun.
Yes, I have met the P.E.
Yes, I have met the P.E.
requirements for the week.
Total Time
requirements for the week.
Total Time
Student Signature:
Student Signature:
Parent Signature:
Parent Signature:
Teacher Signature:
Teacher Signature:
Week/Date: Activity
Number of
Week/Date: Activity
Number of
Steps/Minutes
Steps/Minutes
Mon.
Mon.
Tue.
Tue.
Wed.
Wed.
Thur.
Thur.
Fri.
Fri.
Sat.
Sat.
Sun.
Sun.
Yes, I have met the P.E.
Yes, I have met the P.E.
requirements for the week.
Total Time
requirements for the week.
Total Time
Student Signature:
Student Signature:
Parent Signature:
Parent Signature:
Teacher Signature:
Teacher Signature:

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