PE Make-up Forms

This can be found on the Shuksan website.

Name ______________________________              Today’s Date ________

Reason for excused absence or excused non-suit (parent or doctor note):

Date of excused absence or non-suit _____________________________________

Please describe the physical activity you did for the make-up. Remember, you must participate in one aerobic activity and it must be done for a minimum of 30 minutes. Examples: running, fast walking, soccer practice, dance practice, swimming laps, bike riding, etc.

Heart Rate Before Activity_____ per minute           Heart Rate After Activity _____ per minute

Parent Signature ____________________________________________

Student Signature ____________________________________________