Parentʼs Signature _________________ Date _______
One of the requirements in order to earn an “E” for physical education is to complete
this Exercise Log and turn it in on or before the due date. Be a part of the FIT 4 LIFE
CLUB. You can make this a family activity if youʼd like! Just follow the chart below
and make sure to write down your physical activity. Parents/guardians of kindergarten
through 2nd graders may write the activities on this form. You must be active for 30
minutes or more and complete 15 or more physical activities at different times
throughout the quarter. Examples of activities to do alone or with family members
may include: running, walking, biking, swimming, soccer, dancing, rollerblading, etc.
Please fill in your chart and have a parent/guardian sign it when you are done. Please
turn it in to your p.e. teacher on or before the due date. You may use the back of this
sheet if you need additional space. Any exercise logs turned in past the due date will
not be credited. Have fun!
Teacher: Due Date: May 15, 2009