Coach Miranda's Syllabus Signature Page
This form contains necessary information for your student's PE teacher. Please fill out the following
What Period does the student have PE? *
Student's Name (Last, First) *
Your answer
Emergency Contact Information *
In case student is hurt during class, WHO (person's name) should the school contact?
Your answer
Emergency Contact Phone Number *
Your answer
Parent/Guardian E-mail address *
Your answer
Medical Information
Please list any medical conditions that your child has that might effect his/her ability to participate in Physical Education. Written verification from a doctor may be necessary. Please make sure the nurse is aware of any medical condition.
Your answer
Parent/Guardian Signature *
By typing your name, you agree that you have read and understand the PE Department's syllabus AND Mrs. Miranda's High School Course 1 Syllabus. If you have any questions, please contact Mrs. Miranda.
Your answer
Student Signature *
By typing your name, you agree that yo have read and understand the PE Department's syllabus AND Mrs. Miranda's High School Course 1 Syllabus. If you have any questions, please contact Mrs. Miranda.
Your answer
Notice of Video Assessments: Students will occasionally be videoed either by the teacher, peer or themselves to assess learning, evidence of learning, make-up work, or even extra credit. These videos will not be shared in ANY way and will only be used for grading purposes. Please indicate your preference below.
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