|
École secondaire
REYNOLDS
Secondary
School |
3963 BORDEN STREET, VICTORIA, BC
V8P 3H9
Telephone: (250) 479-1696 FAX: (250) 479-6677
www.members.home.net/reynoldsschool
email: reynoldsschool@home.com
|
|
Confirmation of Physical Activity
(can be a team,
club or individual)
I
would like to confirm that ___________________________ has completed an average of 150
minutes per week of Moderate to Intense physical activity between
the dates of ________ and _______.
The type(s) of physical
activity(ies) engaged in was/were:
___________________________________________________
___________________________________________________
___________________________________________________
___________________________________________________
Name
of Teacher / Coach or Supervising adult: _________________________ (print clearly)
Contact information
of supervisor:
phone:
______________________ e-mail: ___________________
Performance comments (optional):
___________________________________________________
___________________________________________________
___________________________________________________
___________________________________________________
Signature:
_______________________________ Date: ________________________
