Peg Keeler

Physical Education, Grades K-6

Phone: (603) 428-3476 x 255

Homework

All students need to engage in 60 minutes of physical activity each day!

After School Activities

Recreational Games/Dance

Recreational Games/Dance begins: Monday March 12^th, for students in grades 5-7. Look for the permission slip with your child or fill in the form below and email it to me. Time: 3- 4 PM in the gym.

**DATES:

Mondays: March 12^th, 19^th, & 26^th

Wednesdays: March 21^st & 28th

Use the form below to submit your permission slip via email. Just copy, paste, edit and send to: peg.keeler@sau24.org

Physical Activity Links

PE challenge physical activity daily guide

Fueluptoplay60.com NH Healthy Kids

Eating Disorders Institute @ Plymouth State College

PERMISSION SLIP

HEALTH STATEMENT & Permission Slip

The school nurse will NOT be present!

My child __________________________ ___________________________________has my permission to participate in KIDROBICS

Name: ___________________________ ________________________________________ DOB_____________

Class___________________________________

Insurance: _______________________ Policy No. __________________________

Check all that apply:

_______ Allergies/medical concerns

________ Medication needed prior/ during or available activity

__________________ Medication name

__________ Parent will provide medication from home to teacher

__________ Teacher will obtain medication from nurse

You have my permission to assist/supervise my child in taking the medications listed above. I understand that a teacher or other responsible adult may carry the child’s medication. In the event of an emergency you have my permission to obtain emergency care to ensure my child’s well being.

Parent signature: ________________________________ Date____________

Phone: (h)______________(W)_________________(cell)_________________ EMERGENCY CONTACT PHONE:__________________________________________

Email address: ____________________________________________