PHYSICAL ACTIVITY LOG

RUBRICS FOR PARTICIPATION

NAME:____________________________ Yr. & Section:____________

PA CATERGORY I POINTS
Fitness Event (eg., race)
 Fun Run 5
 <5k race 2
 Zumba 2
 Adventure race 1 TOTAL 10 PTS
VALIDATION
 Self-photo at the event (e.g., on the finish line w/ race clock)
 Certificate of Participation

PA CATERGORY II POINTS
Recreational Activities
(Weekend activity) 3
 Racket sports (e.g., badminton, tennis) 2
 Mountaineering 2
 Aquatics/Water sports 3 TOTAL 10 PTS
 Team sports (e.g., pick-up games)
VALIDATION
 Self or group at the venue with playmates.
 Self-photo at the event.

PA CATERGORY III POINTS

Individual or Group Exercise
 In-campus 5
 Off-campus (e.g., franchise gym) 5 TOTAL 10 PTS
VALIDATION
Completion of the exercise log using any of the following format:

NO. OF REPETITIONS
DATE ACTIVITY VENUE PHOTOS
SETS OR TIME

PA CATEGORY IV POINTS
PA-based club practice
(e.g., floorball, ultimate frisbee, handball, arnis, tennis, taekwondo) 4
Varsity training
 Varsity sports training (off-season only) 2
 Varsity sports training (in-season only) 2
 Drumline (game day only) 2 TOTAL 10 PTS
VALIDATION:
Self-photo at the event.
Completion and submission of the following form:
Sports/Varsity Team
Date Month Date
Venue
Training Schedule Start End
Training Activities Purpose Time-spent (in minutes)
Conditioning Drills
Sports-specific Drills
Game/Scrimmage/Routine practice
Others

Name of Coach:

Signature of Coach:

Self-photo at the event:

PA CATEGORY V POINTS MAXIMUM PER MONTH

Non-playing game involvement
 Game spectator 3
 Sports officiating 4
 Sports event staff 3 TOTAL 10 PTS
VALIDATION
Game spectator
 Game Ticket
 Self-photo at the event
 One page essay on your learning experiences.
Sports officiating/Events staff: Accomplish the form below:
Sporting Event Sample Photos
Date Month Date
Venue
Schedule Start End
Name of Organizer
Your role/task in the event
Signature of Organizer
Self-photo at the event:
PA CATEGORY VI POINTS MAXIMUM PER MONTH
Competitive event
 Sports (Unilympics/ MASTS) 4
 Socio-Cultural events (Kaliline/MASTS) 4
 Other competitive event outside the school 2 TOTAL 10 PTS
VALIDATION
 Self-photo during the event (if individual race) or photo with an opponent (both in playing uniforms)
 Printed results of the area/sporting event (if available), certificate of participation (if any) and/or
photo with medal/trophy/award (if any).

Sporting Event Sample Photos

Date Month Date
Venue
Schedule Start End
Competitive Outcome
(score; race time;
medal/rank/place)
Name of Organizer
Signature of Organizer
Self-photo at the event: