PFT Card

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NAME: SEX: AGE:

GRADE and SECTION: SOMATOTYPE: WEEK NO.:

PART I. Health Related Fitness Test

Body Composition - BMI

Height (cm) Weight (kg) BMI Classification

Cardiovascular Endurance - BURPEE

1st trial 2nd trial 3rd trial Result (Pass or Fail)

Strength - PLANK
1st trial 2nd trial 3rd trial Result (Pass or Fail)

Strength - PUSH UP
1st trial 2nd trial 3rd trial Result and Verbal
Interpretation

Flexibility - SIT AND REACH

1st trial 2nd trial 3rd trial

PART II. Skill Related Fitness Test

Power - STANDING LONG JUMP

1st trial 2nd trial 3rd trial Result and Verbal


Interpretation
Agility - QUADRANT JUMP TEST

1st trial 2nd trial 3rd trial Result and Verbal


Interpretation

Balance - FLAMINGO BALANCE TEST

1st trial 2nd trial 3rd trial Result and Verbal


Interpretation

Reaction Time - CLICK TEST (​https://www.topendsports.com/testing/reaction-timer.htm​)

1st trial 2nd trial 3rd trial Result and Verbal


Interpretation

Coordination - ALTERNATE WALL-TOSS TEST

1st trial 2nd trial 3rd trial Result and Verbal


Interpretation

STUDENT’S SIGNATURE OVER PRINTED PARENT’S SIGNATURE OVER PRINTED


NAME: NAME:

RECOMMENDATION: RATING:

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