Katie Colbran

Robert Thirsk High School

Student Physical Education Form

NAME: ______________________________ Phys Ed Period: _______

DATE(S) of missed class and or module: ____________________________________________

DATE(S) of Make-up: ____________________________________________________________

Competency and or Outcome:

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Description of Sport/Activity:
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Reflection (how did you achieve this outcome?):

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Self-Evaluation: ______________________
(Exemplary, Skilled, Competent, Adequate, Basic)

Parent/Guardian or Coach Signature:

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Picture Evidence: (Please attach)