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Physical Education Exemption

Student Name ________________________________


Grade__________________
I ______________am requesting exemption from taking Physical
Education based on the fact that I am in _______________(sport)
and have completed the 20______ season.
I am aware that to complete my physical education requirements I
need two of the following:
2 credit phys-ed classes
2 seasons of a sport
2 different sports

Signatures Required:
Student______________________________________________
Parent_______________________________________________
Coach______________________________________________

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