Heritage Middle School Physical Education

2012-2013

Code of Conduct Agreement

We have read and are supportive of the Heritage Middle School Physical Education Department Code of Conduct for participating in Physical Education.

Class Period: __________     Grade: __________ Teacher:  ______________________

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Student’s Name (PRINT)                                          Parent’s Name (PRINT)

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Student’s Signature                                                   Parent’s Signature

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Date

Please list any health related problems that may affect your child’s participation in Physical Education.  Also, if you have clothing restrictions that differ from the mandated dress, please indicate those at this time.

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(Return the signed form to your Physical Education teacher by Friday, August 26^th)

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