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Republic of the Philippines

Department of Education
CARAGA Administrative Region
Division of Agusan Del Sur
Trento District IV

SAN ISIDRO NATIONAL HIGH SCHOOL


San Isidro, Trento, Agusan Del Sur
School ID: 317443

REVISED PHYSICAL FITNESS TESTS RECORD


(Based on the DepEd Physical Fitness Test Manual for the Special Program in Sports and in the new K to 12 Program)

Name: ____________________________________ Birthdate: ________________ Gender: ______________ Address: ___________________________


(Family Name), (Given Name) (Middle Name) (Month/Day/Year) (Male/Female) (Purok/Brgy./Mun./Province)

PART I: HEALTH-RELATED FITNESS PART II: SKILLS-RELATED FITNESS


CARDIOVASCULAR STRENGTH SPEED POWER AGILITY REACTION
BODY COMPOSITION FLEXIBILITY COORDINATION BALANCE
ENDURANCE TIME
MAPEH DATE
GRADE/ Zipper Test Sit and 3 Minute Step 90° Basic 40m Standing Hexagon Agility Test Stick Drop Stork TEACHER TESTED
Weight Height BMI Reach Test Push Plank Sprint Long Jump Test Juggling Balance Test
SECTION gap/overlap Time (min/sec)
-up
kg m kg/(m)2 left right cm resting training count min/sec min/sec 1st trial 2nd trial clockwise counterclockwise average middle score number of hits left right signature mm/dd/yyyyy
heart rate heart score (inches)
rate

GRADE 7 PRE

SAMPAGUITA POST

GRADE 8 PRE

JUPITER POST

GRADE 9 PRE

RUBY POST

GRADE 10 PRE

RIZAL POST

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