Pathways To Physical Education Pathway Selection Form

PATHWAYS TO PHYSICAL EDUCATION PATHWAY SELECTION FORM Must be Submitted to Guidance by September 1st

Student Name: __________________________

Grade: _____

Franklin High School recognizes that regular physical activity is important for all students. As such and consistent with Massachusetts General Law, the school requires four years of physical education for all students in grades 9-12. Franklin High School has developed three pathways by which students may meet the physical education requirement: through participation in the school physical education classes once per cycle, participation on one of the schools athletic teams, or through participation in an outside of school organized physical activity including those listed in the Pathways Description or other activities that may be proposed by students which receive prior administrative approval.

Select Pathway Below: ____

1. Pathway 1: I elect to participate in the school’s Physical Education program which meets during the school day.

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2. Pathway 2: I elect to fulfill the physical education requirement through participation on one of the school’s interscholastic athletic teams. I understand that if I do not make a team, become academically ineligible or prohibited from participation due to a violation of school or MIAA policy, I am obligated to meet the requirement for physical education by meeting all requirements of PATHWAY 3. Only complete seasons will count towards the requirement. Intended Sport: _________________________

____

3. Pathway 3: I elect to fulfill the physical education requirement through participation in an outside organized physical activity which meets regularly for more than 30 hours in a school year. I understand that it is my responsibility to fulfill the requirement and submit evidence of participation by June 1. I understand that if I must change my activity, it is my responsibility to notify my guidance counselor of the change. I understand that if I elect an activity which is not on the approved list, I must seek prior administrative approval before beginning my participation (for credit). If the activity is not on the approved list, I must write a description of the activity on the back of this form. Planned Activity: ____________________________

From Approved List:

Y

N

Organization providing Activity: ____________________________________ Administrative Approval (if not on list): ______________________________

Student Signature: ________________________

Parent Signature: _______________________

Date: ______________

Date: _________

If electing options 2 or 3, Documentation of Participation form must be completed by provider and returned to the student’s guidance counselor by June 1. Late submissions will not receive credit for the activity.

PATHWAYS TO PHYSICAL EDUCATION DOCUMENTATION OF PARTICIPATION FORM

Due to Guidance by June 1 (Late submissions are not accepted)

Student Name: _________________________

Grade: ______

(Completed by Student)

Activity Description: __________________________________________ Total Number of Sessions: _____________ Start Date: _________

End Date: _______

Approximate Time (minutes) per session: _________ Total Hours allocated to Activity (must be greater than 30): _____ Name of Organization offering activity: _____________________________ Organization Email: ______________________________________ Organization Telephone: __________________________________

I hereby certify that the above named student participated in and completed the activity as listed in the section above: Signature of Advisor (Certifying Participation): __________________________________ Name of Activity Instructor, Advisor or Coach (printed): ___________________________

If electing options 2 or 3, Documentation of Participation form must be completed by provider and returned to the student’s guidance counselor by June 1. Late submissions will not receive credit for the activity.

PATHWAYS TO PHYSICAL EDUCATION SAMPLE LIST OF STRUCTURED PHYSICAL ACTIVITIES

Below is a list of physical activities that may meet the requirements for Option 3. This list has been developed as a guide for students to select activities of interest, but is not intended to be an exclusive list. Additional activities may be proposed by students on the SELECTION FORM and include a description of the activity on the back of that form. There are two criteria that all activities must meet: 1) that the activity is regular and structured and 2) that the activity (or combination of activities) must total 30 or more hours during the course of the school year (September-June). If a student is to propose an activity not on the list, he or she should write a brief description of that activity on the back of the form. Sample Activities: Cycling (with club) Dance Figure Skating Fitness Classes 9 Aerobics 9 Pilates 9 Spinning 9 Yoga Golf (leagues/ clubs) Gymnastics Hiking (with club) Martial Arts Non School Sponsored Sports 9 AAU 9 CYO 9 YMCA 9 League Sports Rock Climbing (with club) Rowing (with club) Running (with club) Running (Road Races: submit plan to guidance and present proof of registration & participation) Skiing (with competitive ski team) Swimming Tennis (non school club)

If electing options 2 or 3, Documentation of Participation form must be completed by provider and returned to the student’s guidance counselor by June 1. Late submissions will not receive credit for the activity.