Mount View Middle School

Physical Education

Craig Blum

We will continue to be outside for Physical Education classes.

Please bring warm clothes, (sweatshirts, sweatpants, hats, gloves, jackets)

Morning classes may want to bring a change of shoes and socks for class.

 Weekly Homework Assignment:

        * Take your P.E. uniform home and have it washed.

        * Bring your P.E. uniform back to school on Mondays.

Daily Homework Assignment

        *Perform 45 minutes of physical activity each day.

Girls Basketball Intramural

Instructor: Mr. Blum

Time: 2:30 PM-3:30 PM

Dates  Nov. 2, 4, 11, 12, 13, 16, 18, 20, 30

            Dec. 2

Limit: 25  First come, first serve

REGISTER:  Complete the Intramural Permission Form below and return

   it to Mr. Blum on or before the first day of the intramural.

  Keep top part for your calendar.

___________________________has my permission to participate in the school’s girl’s basketball intramural program during the 2009/2010    school year.  In giving permission for my daughter to participate in the program:

ÿ       I state that she does not have any physical condition that

        would prevent full, safe participation.

ÿ       I accept the responsibility of making transportation arrangements

for my child.  My child must be picked up at 3:30 PM.

ÿ       If your child is NOT picked up by 3:30 PM more than once,

she may be asked not to participate in this program.

I realize that my child is required to be covered by school or home accident insurance policy.

Child’s Name:                                                                                                                                                                           

Address:                                                                                                                                                                                                 

Home Phone:                                                                                                                                                                               

Work Phone:                                                                             

Medical emergencies will be taken to the nearest hospital.

Child’s medical doctor:                                                                                                                                                               

List any pertinent health problems:  (i.e. allergic to bee stings and specific medication needed.)

                                                                                                                                                                                                                             

                                                                                                                

             Parent/Guardian Signature                                  Date