IGAF-E-1: Physical Education - Secondary Level
VANCOUVER SCHOOL BOARD
REQUEST FOR A MODIFIED PHYSICAL EDUCATION PROGRAM
for _________________________________________________________________
Student
of ________________________________________________________________
School
Date ________________________________________________________________
The physical education teacher(s) at this school wish to ensure that students with limitations in participating in physical activities* (temporary or permanent), who request to be excluded or have their program modified, have parental or medical consent.
The above named student has requested to be excluded from the existing physical education program and your assistance would be appreciated in identifying the scope of the program that would be appropriate.
_________________________________________________
Physical Education Teacher
* Physical Education may include: badminton, basketball, bowling, curling, field hockey, golf, gymnastics, ice hockey, skiing, soccer, softball, swimming, table tennis, tennis, track and field, volleyball.
A Modified Physical Education Program may consist of: aerobics, aquacise, square dancing, stretching, Tai Chi, weight exercise, Yoga.







