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.
_____________________________________________ 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. _____________________________________