Mr. Novotny's PD Physical Education Independent Activity Form

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If you did an independent PE activity at home that was not assigned by Mr. Novotny, please share below.

Student First Name *

Student Last Name *

Classroom Teacher *

Please describe the activity you did. *

When did you do this activity? *

YYYY

Parent/Guardian First and Last Name (Confirming that student did complete the activity) *

Thank you for keeping active!

If you have any questions or would like to send an optional photo of your participation to your physical education teacher, email Mr. Novotny at knovotny@cvcsd.stier.org. Please include your first and last name and classroom teacher.

Please make sure to click the submit button below!

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