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DE LA SALLE LIPA

IS Health and Wellness Program


My Physical Fitness Activity Log

NAME OF STUDENT: ________________________________ Grade & Section: _________________

BMI Category (Pre-Test): ________________________ Quarter: ________________________

REMARKS REASON/S FOR NOT


ACCOMPLISHING THE TASKS
Week No./Date TASKS A - accomplished

PA - partially accomplished

NA - not accomplished

Week 1 Warm up

Date: Main Task

September 11-15, Cool Down


2023

Week 2 Warm up

Date: Main Task

September 18-22, Cool Down


2023

Week 3 Warm up

Date: Main Task

September 25-29, Cool Down


2023

Week 4 Warm up

Date: Main Task

October 2-6, 2023 Cool Down


Week 5 Warm up

Date: Main Task

October 9-13, 2023 Cool Down

Week 6 Warm up

Date: Main Task

October 16-20, 2023 Cool Down

_______________________

Parent’s/Guardian Signature

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