PATHWAYS TO PHYSICAL EDUCATION

PATHWAY SELECTION FORM

Must be Submitted to Guidance by September 1st

Student Name: __________________________ Grade: _____

Franklin High School recognizes that regular physical activity is important for all students. As such and consistent
with Massachusetts General Law, the school requires four years of physical education for all students in grades 9-12.
Franklin High School has developed three pathways by which students may meet the physical education requirement:
through participation in the school physical education classes once per cycle, participation on one of the schools
athletic teams, or through participation in an outside of school organized physical activity including those listed in the
Pathways Description or other activities that may be proposed by students which receive prior administrative approval.

Select Pathway Below:

____ 1. Pathway 1: I elect to participate in the school’s Physical Education program which meets
during the school day.

____ 2. Pathway 2: I elect to fulfill the physical education requirement through participation on one of
the school’s interscholastic athletic teams. I understand that if I do not make a team, become
academically ineligible or prohibited from participation due to a violation of school or MIAA
policy, I am obligated to meet the requirement for physical education by meeting all requirements
of PATHWAY 3. Only complete seasons will count towards the requirement.

Intended Sport: _________________________

____ 3. Pathway 3: I elect to fulfill the physical education requirement through participation in an
outside organized physical activity which meets regularly for more than 30 hours in a school year.
I understand that it is my responsibility to fulfill the requirement and submit evidence of
participation by June 1. I understand that if I must change my activity, it is my responsibility to
notify my guidance counselor of the change. I understand that if I elect an activity which is not on
the approved list, I must seek prior administrative approval before beginning my participation (for
credit). If the activity is not on the approved list, I must write a description of the activity on the
back of this form.

Planned Activity: ____________________________ From Approved List: Y N

Organization providing Activity: ____________________________________

Administrative Approval (if not on list): ______________________________

Student Signature: ________________________ Parent Signature: _______________________

Date: ______________ Date: _________

If electing options 2 or 3, Documentation of Participation form must be completed by provider

and returned to the student’s guidance counselor by June 1. Late submissions will not receive
credit for the activity.
 PATHWAYS TO PHYSICAL EDUCATION

DOCUMENTATION OF PARTICIPATION FORM

Due to Guidance by June 1

(Late submissions are not accepted)

Student Name: _________________________ Grade: ______

(Completed by Student)

Activity Description: __________________________________________

Total Number of Sessions: _____________

Start Date: _________ End Date: _______

Approximate Time (minutes) per session: _________

Total Hours allocated to Activity (must be greater than 30): _____

Name of Organization offering activity: _____________________________

Organization Email: ______________________________________

Organization Telephone: __________________________________

I hereby certify that the above named student participated in and completed the activity as listed
in the section above:

Signature of Advisor (Certifying Participation): __________________________________

Name of Activity Instructor, Advisor or Coach (printed): ___________________________

If electing options 2 or 3, Documentation of Participation form must be completed by provider

and returned to the student’s guidance counselor by June 1. Late submissions will not receive
credit for the activity.
 PATHWAYS TO PHYSICAL EDUCATION

SAMPLE LIST OF STRUCTURED PHYSICAL ACTIVITIES

Below is a list of physical activities that may meet the requirements for Option 3. This list has been
developed as a guide for students to select activities of interest, but is not intended to be an exclusive list.
Additional activities may be proposed by students on the SELECTION FORM and include a description of
the activity on the back of that form.

There are two criteria that all activities must meet: 1) that the activity is regular and structured and 2) that
the activity (or combination of activities) must total 30 or more hours during the course of the school year
(September-June). If a student is to propose an activity not on the list, he or she should write a brief
description of that activity on the back of the form.

Sample Activities:

Cycling (with club)

Dance
Figure Skating
Fitness Classes
9 Aerobics
9 Pilates
9 Spinning
9 Yoga
Golf (leagues/ clubs)
Gymnastics
Hiking (with club)
Martial Arts
Non School Sponsored Sports
9 AAU
9 CYO
9 YMCA
9 League Sports
Rock Climbing (with club)
Rowing (with club)
Running (with club)
Running (Road Races: submit plan to guidance and present proof of registration & participation)
Skiing (with competitive ski team)
Swimming
Tennis (non school club)

If electing options 2 or 3, Documentation of Participation form must be completed by provider

and returned to the student’s guidance counselor by June 1. Late submissions will not receive
credit for the activity.