EXCUSE FROM PHYSICAL EDUCATION FORM
Name: Period: Date:
The purpose of the Excuse from Physical Education Form is to excuse your child from participating in class for a set period of time. The Excuse from Physical Education Form must be filled out and signed by a parent/guardian.
Please excuse my son/daughter from Physical Education:
Today
Today and Tomorrow.
For the next three days.
For the next four days.
For the entire week.
Until (date).
A doctor’s note is requested for any illness or injury lasting for more than three days. Please attach the doctor’s note to this form.
The reason for the excuse is related to a(n):
Illness
Injury
Personal Reasons (ex. fasting, severe menstrual cramping, etc.)
Note: Studies have shown that exercise and physical activity helps reduce the amount of pain caused my normal menstrual cramping.
Please include more information regarding the injury, illness, or other reason why your son/daughter cannot participate in Physical Education.
In most cases, your child may be required to participate in stretching exercises. He/She may also walk the field while the rest of the class participates in the activity. Please describe why your son/daughter should not stretch and/or walk the field?
Parent Signature and Phone Number