Fall 2020 XBlock Parent/Coach/Mentor Form
Students who can demonstrate that they have completed a minimum of 30 hours of wellness-supporting activities over the course of this semester (between September 1 and December 18) will be granted XBlock credit for Fall 2020.

Activities may include:

   * Participation in an organized team sport
   * Ongoing training or classes with an organized school/gym/program (yoga, dance, Durango DEVO, Rec Center, martial arts, etc.)
   * Individual exercise/mindfulness practice (running, biking, hiking, meditation, etc.)
   * Engagement in a club/group/program that supports health and wellbeing  (The Hive, AHS Interact Club, faith-based youth group, Rainbow Youth Center, etc.)
   * Community service

An adult (parent, coach, mentor) must complete the Fall 2020 XBlock Parent/Coach/Mentor Form to verify hours completed.

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Email *
Your Name
Relationship to Student
Student Name
Grade
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Description of wellness-supporting activity or activities completed
Number of hours completed between September 1 and December 18 (please list number of hours for each activity if  you completed more than one type)
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