PHYSICAL EDUCATION ACTIVITY LOG Month:_________________ Student Name: _________________________ Homeroom Teacher:__________________ Grade:______ Student should complete a minimum of 200 minutes of physical activity outside of school each week. TIME TIME TIME TIME WEEK WEEK WEEK WEEK TYPE OF ACTIVITY IN TYPE OF ACTIVITY IN TYPE OF ACTIVITY IN TYPE OF ACTIVITY IN 1 2 3 4 MIN. MIN. MIN. MIN. MON. MON. MON. MON. TUES. TUES. TUES. TUES. WED. WED. WED. WED. THURS. THURS. THURS FRI. FRI. FRI. FRI. SAT. SAT. SAT. SAT. SUN. SUN. SUN. SUN. Should equal at least 200 Should equal at least 200 Should equal at least 200 Should equal at least 200 TOTAL TOTAL TOTAL TOTAL minutes minutes minutes minutes     Student Signature: _____________________________ Parent/Guardian Signature: _____________________________
PHYSICAL EDUCATION ACTIVITY LOG Month:_________________ Student Name: _________________________ Homeroom Teacher:__________________ Grade:______ WEEK 1 TYPE OF ACTIVITY TIME IN MIN. WEEK 2 TYPE OF ACTIVITY TIME IN MIN. WEEK 3 TYPE OF ACTIVITY TIME IN MIN. WEEK 4 TYPE OF ACTIVITY TIME IN MIN. MON. MON. MON. MON. TUES. TUES. TUES. TUES. WED. WED. WED. WED. THURS. THURS. THURS FRI. FRI. FRI. FRI. SAT. SAT. SAT. SAT. SUN. SUN. SUN. SUN. TOTAL Should equal at least 200 minutes  TOTAL Should equal at least 200 minutes  TOTAL Should equal at least 200 minutes  TOTAL Should equal at least 200 minutes  Student should complete a minimum of 200 minutes of physical activity outside of school each week. Student Signature: _____________________________ Parent/Guardian Signature: _____________________________
PE%20Activity%20Log.docx