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Daily Physical Activity Submission Form
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Term Two 2016-2017
Please fill out this form for Term 2 Daily Physical Activity.
Last Name
*
Your answer
First Name (as found on timetable)
*
Your answer
Student #
*
Your answer
Homeroom
*
Your answer
You must have completed an average of 150 minutes per week (150 minutes x 13 weeks = 1,950 minutes in total) of moderate/vigorous daily physical activity from Nov 14, 2016 - Feb 12, 2017. Be prepared to submit your DPA logs as proof, if requested.
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Yes, I have completed an an average of 150 minutes per week of moderate/vigorous physical activity from Sep 12, 2016 - Nov 18, 2016.
No, I have not completed an an average of 150 minutes per week of moderate/vigorous physical activity from Sep 12, 2016 - Nov 18, 2016.
Required
During term two, I participated in the following moderate/vigorous physical activities. Select all that apply.
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walking
jogging/running
volleyball
basketball
baseball
tennis
golf
hockey
soccer
dance/yoga/zumba
strength and conditioning
martial arts
gymnastics
Other:
Required
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