First Name_____________________ Last Name________________________

CHARTING OUR CARDIOVASCULAR ACTIVITY

Independent Study #ID (16-20 days)

Date	Distance	Length of Time	List activity	Personal Comments-What influenced your activity? How you felt**The weather**How hard you tried**Environment
****	# of miles	minutes/hours	bike, power walk, jog, swim, etc.	Please use the space provided to answer the above question.

Directions: While you are away from Douglass Middle School Physical Education Class, choose
an activity that will help maintain your cardiovascular endurance for the number of days you
will be gone (3 days = 3 entries on journal). Please have your parent/guardian sign and return
this journal to verify your completion of the above activities.

_______________________________Parent/Guardian Signature