IGAF-E-2: Physical Education - Secondary School Level
Classification:
I: Instructional
Code:
IGAF-E-2 VANCOUVER SCHOOL BOARD
LIMITATIONS ON PARTICIPATION IN PHYSICAL ACTIVITIES
Students' Name ________________________________________________________
General/specific caution: __________________________________________
______________________________________________________________________
______________________________________________________________________
Activities prohibited: ________________________________________________
_______________________________________________________________________
_______________________________________________________________________
Activities recommended: __________________________________________________
_______________________________________________________________________
_______________________________________________________________________
Approximate date to resume normal activity: __________________________________
Physician: _____________________________________________________________
Phone Number: _____________________________________________________
Date: ____________________________________________________________
Revision Date:
Apr, 1994
