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Application to become a President’s Council on Physical Fitness & Sports Physical Activity and Fitness Demonstration Center In addition to filling out the application below, please include a brief statement describing the efforts made by your school to increase the amount of physical activity and fitness levels of your students. Date _____ /_____ /_____ Type of School (circle) Elementary Jr. High/Middle Senior High School Name ________________________________ Principal Name ________________________________ P.E. Teacher Name ________________________________ Address ________________________________ City/State/Zip ________________________________ Phone _____ - _____ - _______ Fax _____ - _____ - _______ Email ________________________________ Website ________________________________ We certify that our school meets all of the criteria in order to become a President’s Council on Physical Fitness and Sports Physical Activity and Fitness Demonstration Center. Signed, _______________________________ _______________________________ Principal Physical Education Teacher This form should be returned to the State Coordinator of Physical Activity and Fitness Demonstration Centers for your state. For contact information on the coordinator in your state please visit the President's Challenge website at www.presidentschallenge.org.