Winter PE Exemption 22-23 Season Due by Nov. 18th
SEASONAL PHYSICAL EDUCATION EXEMPTION FORM
The student-athlete whose signature appears on this form has elected to take a Physical Education Exemption in lieu of his/her physical education class.  This is a quiet study hall where students are engaging in academic work.  A student-athlete must be enrolled in a full day of academics to be eligible for the exemption.  The student-athlete must attend Physical Education Resource/Study Hall in order to receive physical education credit.  The student-athlete understands that he/she must return to physical education immediately, dress in proper physical education attire, and participate in physical activity when:
1) Student-athlete’s participation season is over (S/A is no longer competing)
2) Quitting the team.
3) Being dropped from the team.
4) Student has dropped a class and a study hall has been added to their academic schedule
5) The student-athlete is excessively truant from PE Resource/Study Hall or has excessive absences from PE
    Resource / Study Hall or team attendance
6) If the student-athlete fails to behave properly a conduct referral will be submitted to the Dean’s Office and a
    behavioral intervention will be initiated
7) Has not completed ALL FITNESSGRAM testing
8) Violation of the Athletic Code or IHSA Athletic Code
Email *
First Name *
Last Name *
Student ID Number *
Please indicate which sport you will be participating in: *
Which school do you attend: *
1st Semester Physical Education class period: *
Do you currently have a study hall, late arrival, early dismissal or are you a department aide? (If you do you will not qualify for a PE exemption)
 *
By clicking this box you agree to all terms of the physical education exemption policy.  
 *
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Hinsdale Township High School District 86. Report Abuse
Google Forms