ANDOVER CENTRAL

Andover Central Middle School
Physical Education Make-Up Form

This form is designed to take place of class points that have been missed due to an absence. Complete and return to your P.E. teacher, with a parent signature no later than one week of the absence to earn missing points.
                                                                                                                                                                 Hour
                                _____________________________________________                            1    2    3   4    5    6   
…                ………………….                                       Students Name                                                             A   B

Date(s) of Absence     _______/_______/_______         _______/_______/_______         _______/_______/_______

_______________________________________________________________________________________________
Type of Activity (×45 minutes/ per day)

                                                                                                   
My child has completed the required amount of physical activity. _____________________________________
                                                                                                              Parent Signature______________________________