Physical Activity Log

Directions:

You will need to download or make a copy of this form to be able to type into it.

Record your physical activity for each day in the chart below. Check with your teacher to confirm the number of minutes required per
week.

You will need to fill in this chart with the type of exercise(s) you complete and the amount of time you spent exercising. You must
include the date, description of exercise, number of minutes, and total number of minutes per week.

You will use one log for the entire course. There are 35 weeks in this log, use the number of weeks appropriate for your course.
Yearlong courses have 34 weeks and semester courses have 17 weeks. There are extra weeks on this chart that you might not
need, but you should fill in the chart as accurately as possible.

If you have additional information, you can fill in the comments section at the bottom.

You will submit this document to your teacher at the end of each unit.

Week/ Monday Tuesday Wednesday Thursday Friday Saturday Sunday Total Time
Day

Week 1 Date: Sept. 28 Date: Sept. 29 Date: Sept. 30 Date: Oct. 1 Date: Oct. 2 Date: Oct. 3 Date: Oct. 4 Total Minutes
Exercise: Exercise: Exercise: 2 hs Exercise: 1 hr Exercise: Exercise: Exercise: for Week 1:
2 hrs of dance 2 hrs of dance of dance of dance Jennesa 5 hrs 45 mins
Jennesa yoga Yoga
Jennesa yoga

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 Minutes:0 Minutes:0
Minutes:
Minutes:2 hrs Minutes: 1 Minutes: c
hour, 15 min
Minutes: 2 hrs
15 min

Week 2 Date: Oct. 5 Date: Oct. 6 Date: Oct. 7 Date: Oct. 8 Date: Oct. 9 Date:Oct. 10 Date: Oct. 11 Total Minutes
Exercise: Exercise: Exercise: 2 hs Exercise: 1 hr Exercise: Exercise: Exercise: for Week 2:
2 hrs of dance 2 hrs of dance of dance of dance Jennesa 5 hrs 45 mins
Jennesa yoga Yoga
Jennesa yoga

Minutes: 0 Minutes:0
Minutes: Minutes: 2 hrs
Minutes: 1 Minutes: 15
2 hrs hour, 15 min min
Minutes:2 hrs
15 min

Week 3 Date: Oct. 12 Date: Oct. 13 Date: Oct. 14 Date: Oct. 15 Date: Oct. 16 Date: Oct. 17 Date: Oct. 18 Total Minutes
Exercise: Exercise: Exercise: 2 hs Exercise: 1 hr Exercise: Exercise: Exercise: for Week 3:
2 hrs of dance 2 hrs of dance of dance of dance Jennesa 5 hrs 45 mins
Jennesa yoga Yoga
Jennesa yoga 5 hrs 45 mins

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 Minutes: 0 Minutes: 0
Minutes: Minutes: 2 hrs
Minutes: 1 Minutes: 15
2 hrs Minutes:2 hrs hour, 15 min min
15 min

Week 4 Date: Oct. 19 Date: Oct. 20 Date: Oct. 21 Date: Oct. 22 Date: Oct. 23 Date: Oct. 24 Date: Oct. 25 Total Minutes
Exercise: Exercise: Exercise: 2 hs Exercise: 1 hr Exercise: Exercise: Exercise: for Week 4:
2 hrs of dance 2 hrs of dance of dance of dance 5 hrs 45 mins
Jennesa yoga
Jennesa yoga

Minutes: 15 Minutes: 0 Minutes:0

Minutes: Minutes: 2 hrs min
Minutes: 1
2 hrs hour, 15 min
Minutes:

Week 5 Date: Oct. 26 Date: Oct. 27 Date: Oct. 28 Date:Oct. 29 Date: Oct. 30 Date: Oct. 31 Date: Nov.1 Total Minutes
Exercise: Exercise: Exercise: 2 hs Exercise: 1 hr Exercise: Exercise: Exercise: for Week 5:
2 hrs of dance of dance of dance Jennesa 5 hrs 45 mins

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 2 hrs of dance Jennesa yoga Yoga

Jennesa yoga

Minutes:0 Minutes: 0
Minutes: 2 hrs Minutes: 2 hrs
Minutes: 1 Minutes: 15
hour, 15 min min
Minutes:2 hrs
15 min

Week 6 Date: Nov. 2 Date: nov. 3 Date: nov. 4 Date: nov.5 Date: nov. 6 Date:Nov.7 Date: nov. 8 Total Minutes
Exercise: Exercise: Exercise: 2 hs Exercise: 1 hr Exercise: Exercise: Exercise: for Week 6:
2 hrs of dance of dance of dance Jennesa 5 hrs 45 mins
2 hrs of dance Jennesa yoga Yoga

Jennesa yoga

Minutes: 0 Minutes:0
Minutes: Minutes: 2 hrs
Minutes: 1 Minutes:
Minutes: hour, 15 min

Week 7 Date: nov. 9 Date: nov. 10 Date: nov. 11 Date: nov. 12 Date: nov. 13 Date: nov. 14 Date: nov. 15 Total Minutes

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 Exercise: Exercise: Exercise: 2 hs Exercise: 1 hr Exercise: Exercise: Exercise: for Week 7:
2 hrs of dance 2 hrs of dance of dance of dance Jennesa 5 hrs 45 mins
Jennesa yoga Yoga
Jennesa yoga

Minutes: 0 Minutes:0
Minutes: 2 hrs Minutes: 2 hrs
Minutes: 1 Minutes: 15
hour, 15 min min
Minutes: 2 hrs
15 min

Week 8 Date: nov. 16 Date: nov. 17 Date: nov. 18 Date: nov. 19 Date: nov. 20 Date:nov. 21 Date: nov.22 Total Minutes
Exercise: Exercise: Exercise: 2 hs Exercise: 1 hr Exercise: Exercise: Exercise: for Week 8:
2 hrs of dance 2 hrs of dance of dance of dance Jennesa c
Jennesa yoga Yoga
Jennesa yoga

Minutes: 0 Minutes: 0
Minutes: 2 hrs Minutes: 2 hrs Minutes: 2 hrs Minutes: 15
15 min Minutes: 1 min
hour, 15 min

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Week 9 Date: nov. 23 Date: nov. 24 Date: nov. 25 Date: nov. 26 Date: nov. 17 Date: nov. 18 Date: Total Minutes
Exercise: Exercise: 2 hrs Exercise: 2 hs Exercise: 1 hr Exercise: Exercise: Exercise: for Week 9:
2 hrs of dance of dance of dance of dance Jennesa 5 hrs 45 mins
Jennesa yoga Jennesa yoga Yoga

Minutes: 0 Minutes: 0
Minutes:2 hrs
Minutes: 1 Minutes: 15
Minutes: 2 hrs
hour, 15 min min
15 min Minutes: 2 hrs

© 2016 Connections Education LLC. All rights reserved.

Week Date: Date: Date: Date: Date: Date: Date: Total Minutes
10 Exercise: Exercise: 2 hrs Exercise: 2 hs Exercise: 1 hr Exercise: Exercise: Exercise: for Week 10:
2 hrs of dance of dance of dance of dance Jennesa 5 hrs 45 mins
Jennesa yoga Jennesa yoga Yoga

Minutes: 2 hrs Minutes: 0 Minutes: 0

Minutes: 2 hrs
Minutes: 1 Minutes: 15
Minutes: 2 hour, 15 min min
hrs 15 min

Week Date: Date: Date: Date: Date: Date: Date: Total Minutes
11 Exercise: Exercise: 2 hrs Exercise: 2 hs Exercise: 1 hr Exercise: Exercise: Exercise: for Week 11:
2 hrs of dance of dance of dance of dance Jennesa 5 hrs 45 min
Jennesa yoga Jennesa yoga Yoga

Minutes: 2 hrs
Minutes:0 Minutes: 0
Minutes: 2 hrs
Minutes: 1 Minutes: 15
Minutes: 2 hrs hour, 15 min min
15 min

Week Date: Date: Date: Date: Date: Date: Date: Total Minutes

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12 Exercise: 2 Exercise: 2 hrs Exercise: 2 hs Exercise: 1 hr Exercise: Exercise: Exercise: for Week 12:
hrs of dance of dance of dance of dance Jennesa 5 hrs 45 mins
Jennesa yoga Jennesa yoga Yoga

Minutes: 0 Minutes: 0
Minutes: 2 hrs Minutes:2 hrs
Minutes: 1 Minutes: 15
Minutes: 2 hrs hour, 15 min min
15 min

Week Date: Date: Date: Date: Date: Date: Date: Total Minutes
13 Exercise: 2 Exercise: 2 hrs Exercise: 2 hs Exercise: 1 hr Exercise:Jenn Exercise: Exercise: for Week 13:
hrs of dance of dance of dance of dance esa Yoga 5 hrs 45 min
Jennesa yoga Jennesa yoga

Minutes: Minutes:
Minutes: 15
Minutes: 2 hrs min
Minutes:2 hrs Minutes: 2 hrs Minutes: 1
15 min hour, 15 min

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Week Date: Date: Date: Date: Date: Date: Date: Total Minutes
14 Exercise: 2 Exercise: 2 hrs Exercise: 2 hs Exercise: 1 hr Exercise: Exercise: Exercise: for Week 14:
hrs of dance of dance of dance of dance Jennesa 5 hrs 45 min
Jennesa yoga Jennesa yoga Yoga

Minutes: Minutes:

Minutes: 2 hrs Minutes:15

Minutes: 2 hrs Minutes: 2 hrs Minutes: 1 min
15 min hour, 15 min

Week Date: Date: Date: Date: Date: Date: Date: Total Minutes
15 Exercise: 2 Exercise: 2 hrs Exercise: 2 hs Exercise: 1 hr Exercise: Exercise: Exercise: for Week 15:
hrs of dance of dance of dance of dance Jennesa 5 hrs 45 min
Jennesa yoga Jennesa yoga Yoga

Minutes: Minutes:

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 Minutes: 2 hrs Minutes: 2 hrs Minutes: 2 hrs Minutes: 1 Minutes: 15
15 min hour, 15 min min

Week Date: Date: Date: Date: Date: Date: Date: Total Minutes
16 Exercise: 2 Exercise: 2 hrs Exercise: 2 hs Exercise: 1 hr Exercise: Exercise: Exercise: for Week 16:
hrs of dance of dance of dance of dance Jennesa 5 hrs 45 min
Jennesa yoga Jennesa yoga Yoga

Minutes: Minutes:

Minutes: 2 hrs Minutes: 15

Minutes: 2 hrs Minutes: 2 hrs Minutes: 1 min
15 min hour, 15 min

Week Date: Date: Date: Date: Date: Date: Date: Total Minutes
17 Exercise: 2 Exercise: 2 hrs Exercise: 2 hs Exercise: 1 hr Exercise: Exercise: Exercise: for Week 17:
hrs of dance of dance of dance of dance Jennesa 5 hrs 45 min
Jennesa yoga Jennesa yoga Yoga

© 2016 Connections Education LLC. All rights reserved.

 Minutes: Minutes:

Minutes: 2 hrs Minutes: 15

Minutes: 2 hrs Minutes: 2 hrs Minutes: 1 min
15 min hour, 15 min

Week Date: Date: Date: Date: Date: Date: Date: Total Minutes
18 Exercise: 2 Exercise: 2 hrs Exercise: 2 hs Exercise: 1 hr Exercise: Exercise: Exercise: for Week 18:
hrs of dance of dance of dance of dance Jennesa 5 hrs 45 min
Jennesa yoga Jennesa yoga Yoga

Minutes: Minutes:

Minutes:15
Minutes: 2 hrs Minutes: 2 hrs Minutes: 2 hrs Minutes: c min
15 min

Week Date: Date: Date: Date: Date: Date: Date: Total Minutes
19 Exercise: 2 Exercise: 2 Exercise: 2 hs Exercise: 1 hr Exercise: Exercise: Exercise: for Week 19:
hrs of dance hrs of dance of dance of dance Jennesa 5 hrs 45 min
Jennesa yoga Jennesa yoga Yoga

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 Minutes: Minutes:

Minutes: 15
Minutes: 2 hrs Minutes: 1 min
15 min Minutes: 2 hrs hour, 15 min
Minutes: 2 hrs

Week Date: Date: Date: Date: Date: Date: Date: Total Minutes
20 Exercise: 2 Exercise: 2 Exercise: 2 hs Exercise: 1 hr Exercise: Exercise: Exercise: for Week 20:
hrs of dance hrs of dance of dance of dance Jennesa 5 hrs 45 min
Jennesa yoga Jennesa yoga Yoga

Minutes: Minutes:
Minutes: 15
min
Minutes: 2 hrs Minutes: 2 hrs Minutes: 1
15 min Minutes:2 hrs hour, 15 min

Week Date: Date: Date: Date: Date: Date: Date: Total Minutes

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21 Exercise: 2 Exercise: 2 Exercise: 2 hs Exercise: 1 hr Exercise: Exercise: Exercise: for Week 21:
hrs of dance hrs of dance of dance of dance Jennesa 5 hrs 45 min
Jennesa yoga Jennesa yoga Yoga

Minutes: Minutes:

Minutes: 15
Minutes: 2 hrs Minutes: 2 hrs Minutes: 1 min
15 min Minutes: 2 hrs hour, 15 min

Week Date: Date: Date: Date: Date: Date: Date: Total Minutes
22 Exercise: 2 Exercise: 2 Exercise: 2 hs Exercise: 1 hr Exercise: Exercise: Exercise: for Week 22:
hrs of dance hrs of dance of dance of dance Jennesa 5 hrs 45 min
Jennesa yoga Jennesa yoga Yoga

Minutes: Minutes:

Minutes: 15
Minutes: 2 hrs Minutes: 2 hrs Minutes: 1 hr of min
15 min Minutes: 2 hrs dance

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Week Date: Date: Date: Date: Date: Date: Date: Total Minutes
23 Exercise: 2 Exercise: 2 Exercise: 2 hs Exercise: 1 hr Exercise: Exercise: Exercise: for Week 23:
hrs of dance hrs of dance of dance of dance Jennesa 5 hrs 45 min
Jennesa yoga Jennesa yoga Yoga

Minutes: Minutes:

Minutes: 2 hrs Minutes: 15

Minutes: 2 hrs Minutes: 1 min
15 min Minutes: 2 hrs hour, 15 min

Week Date: Date: Date: Date: Date: Date: Date: Total Minutes
24 Exercise: 2 Exercise: Exercise: 2 hs Exercise: 1 hr Exercise: Exercise: Exercise: for Week 24:
hrs of dance Exercise: 2 of dance of dance Jennesa 5 hrs 45 min
hrs of dance Jennesa yoga Yoga
Jennesa yoga

Minutes: Minutes:

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 Minutes: 2 hrs Minutes: 2 hrs Minutes:15
Minutes: 1 min
Minutes: 2 hrs hour, 15 min
15 min

Week Date: Date: Date: Date: Date: Date: Date: Total Minutes
25 Exercise: 2 Exercise: Exercise: 2 hs Exercise: 1 hr Exercise: Exercise: Exercise: for Week 25:
hrs of dance Exercise: 2 of dance of dance Jennesa 5 hrs 45 min
hrs of dance Jennesa yoga Yoga
Jennesa yoga

Minutes: Minutes:
Minutes: 2 hrs Minutes: 2 hrs
Minutes:15
Minutes: 1 min
Minutes: 2 hrs hour, 15 min
15 min

Week Date: Date: Date: Date: Date: Date: Date: Total Minutes
26 Exercise: Exercise: Exercise: 2 hs Exercise: 1 hr Exercise: Exercise: Exercise: for Week 26:
Exercise: 2 of dance of dance Jennesa 5 hrs 45 min
hrs of dance Jennesa yoga Yoga
Jennesa yoga

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 Minutes: 2 hrs Minutes: 2 hrs Minutes: Minutes:
Minutes: 15
Minutes: 1 min
Minutes: 2 hrs hour, 15 min
15 min

Week Date: Date: Date: Date: Date: Date: Date: Total Minutes
27 Exercise: 2 Exercise: Exercise: 2 hs Exercise: 1 hr Exercise: Exercise: Exercise: for Week 27:
hrs of dance Exercise: 2 of dance of dance Jennesa 5 hrs 45 min
hrs of dance Jennesa yoga Yoga
Jennesa yoga

Minutes: Minutes:
Minutes: 2 hrs Minutes: 2 hrs
Minutes: 15
Minutes: 1 min
Minutes: 2 hrs hour, 15 min
15 min

Week Date: Date: Date: Date: Date: Date: Date: Total Minutes
28 Exercise: 2 Exercise: Exercise: 2 hs Exercise: 1 hr Exercise: Exercise: Exercise: for Week 28:
hrs of dance Exercise: 2 of dance of dance Jennesa 5 hrs 45 min
hrs of dance Jennesa yoga Yoga
Jennesa yoga

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 Minutes: Minutes:
Minutes: 2 hrs Minutes: 2 hrs
Minutes: 15
Minutes: 1 min
Minutes: 2 hrs hour, 15 min
15 min

Week Date: Date: Date: Date: Date: Date: Date: Total Minutes
29 Exercise: 2 Exercise: Exercise: 2 hs Exercise: 1 hr Exercise: Exercise: Exercise: for Week 29:
hrs of dance Exercise: 2 of dance of dance Janessa Yoga 5 hrs 45 min
hrs of dance Jennesa yoga
Jennesa yoga

Minutes: Minutes:
Minutes: 2 hrs Minutes: 2 hrs Minutes: 15
min
Minutes: 1
Minutes: 2 hrs hour, 15 min
15 min

Week Date: Date: Date: Date: Date: Date: Date: Total Minutes
30 Exercise: 2 Exercise: Exercise: 2 hs Exercise: 1 hr Exercise: Exercise: Exercise: for Week 30:
hrs of dance Exercise: 2 of dance of dance Jennesa 5 hrs 45 min
hrs of dance Jennesa yoga Yoga
Jennesa yoga

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 Minutes: Minutes:
Minutes: 2 hrs Minutes:2 hrs
Minutes: 15
Minutes:1 hour, min
Minutes: 2 hrs 15 min
15 min

Week Date: Date: Date: Date: Date: Date: Date: Total Minutes
31 Exercise:2 hrs Exercise: 2 hrs Exercise: 2 hs Exercise: 1 hr Exercise: Exercise: Exercise: for Week 31:5
of dance of dance of dance of dance Jennesa hrs 45 min
Jennesa yoga Jennesa yoga Yoga

Minutes: Minutes:
Minutes: Minutes: 2 hrs
Minutes:1 hour,
Minutes: 2 hrs 15 min Minutes: 15
15 min min

Week Date: Date: Date: Date: Date: Date: Date: Total Minutes
32 Exercise: 2 Exercise: 2 hrs Exercise: 2 hs Exercise: 1 hr Exercise: Exercise: Exercise: for Week 32:
hrs of dance of dance of dance of dance Jennesa 5 hrs 45 min
Jennesa yoga Jennesa yoga Yoga

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 Minutes: Minutes:
Minutes: 2 hrs Minutes: 2 hrs
Minutes: 1
Minutes: 2 hrs hour, 15 min Minutes: 15
15 min min

Week Date: Date: Date: Date: Date: Date: Date: Total Minutes
33 Exercise: 2 Exercise: 2 hrs Exercise: 2 hs Exercise: 1 hr Exercise: Exercise: Exercise: for Week 33:
hrs of dance of dance of dance of dance 5 hrs 45 min
Jennesa yoga Jennesa yoga

Minutes: 15 Minutes: Minutes:

Minutes:2 hrs Minutes: 2 hrs min
Minutes: 1
Minutes: 2 hrs hour, 15 min
15 min

Week Date: Date: Date: Date: Date: Date: Date: Total Minutes
34 Exercise: 2 Exercise: 2 hrs Exercise: 2 hs Exercise: 1 hr Exercise: Exercise: Exercise: for Week 34:
hrs of dance of dance of dance of dance Jennesa 5 hrs 45 min
Jennesa yoga Jennesa yoga Yoga

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 Minutes: Minutes:
Minutes: 2 hrs Minutes: 2 hrs
Minutes: 1
Minutes: 2 hrs hour, 15 min Minutes: 15
15 min min

Week Date: Date: Date: Date: Date: Date: Date: Total Minutes
35 Exercise: 2 Exercise: 2 hrs Exercise: 2 hs Exercise: 1 hr Exercise: Exercise: Exercise: for Week 35:
hrs of dance of dance of dance 2 hrs of dance Jennesa 5 hrs 45 min
Jennesa yoga Jennesa yoga Yoga

Minutes: Minutes:
Minutes: 2 hrs Minutes: 2 hrs
Minutes: 1
Minutes: 2 hrs hour, 15 min Minutes: 15
15 min min

Comments:I like to stick to a schedule.

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