Cardiovascular Conditioning Prescription

Name: _______________________________ Age: ________

Date of 1st Day of Training: _________________ Initial Prescription/No. of Progression: _______

Components Target
Frequency
Intensity
Resting Heart Rate
Heart Rate Reserve
Target Heart Rate
HR @ High Interval
HR @ Low Interval
Borg Rate of Perceived Exertion
Time
Warm up
Stimulus
Cool down
Number of cycles
Type
 Muscular Resistance Training Prescription

Name: _______________________________ Age: ________

Date of 1st Day of Training: _________________ Initial Prescription/No. of Progression: _______

Training Age
Goal Increased
Volume
Frequency
Session/Duration
Warm up Stretch Duration Sets Reps

Exercise Sets Reps Rest Load RPE

Cool down Stretch Duration Sets Reps

Name of PE Instructor:
Date Submitted/Finished: