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