1. Responsibility- Following the gym procedures; - Enter class and sit in assigned seat, immediately -NO Horseplay or boisterous behavior will be tolerated -No food, drinks or gum allowed -Dress in assigned section in the locker room -LOCKS ARE AVAILABLE UPON REQUEST – We are not responsible for lost or stolen items- no cell phones allowed. -4 minutes to dress -Return to assigned seat -Prepare for exercises -Follow all school rules, gym rules and directions -Be respectful to teachers and fellow classmates -Special needs in writing or medical doctor’s note -Dress back out in assigned area, wait for teacher dismissal Written Assessment and Fitness Test: In class and out of class assignments will occur throughout the year with specified Physical Education & Health lessons. All paperwork sent home to be signed; class letters and assignments will be returned for a grade. Physical Fitness testing will occur. Fitness events will be scored for a grade.(Special Note: Progress Reports can be returned signed for extra credit. Receiving the Progress Report back signed is and EXCELLENT source of communication.) Daily Deductions- -Wrong color shorts = -1 -Failing to participate -Wrong color shirt = -1 in daily activity = -3 Improper gym clothes = -1-Improper shoes = -3 -Borrowing shirt or shorts = -2-Failing to participate -Failing to follow gym procedures = -2 and borrowing -Failing to do warm-up exercises = -2 uniform = -5 (Must do all of the exercises) Dressing Out/Uniform- Gray t-shirt, Navy Blue Shorts and Gym Shoes. If student chooses to wear a uniform from home—NO DENIM OR SOFFE. SOCKS AND NON-MARKING SOLE GYM SHOES WITH CLOSED BACKS AND TOES ARE REQUIRED! Students that do not bring a uniform will be issued a gold short and white shirt school uniform to wear. Participation- Actively engaged in the warm-up and activity for the day. Students are expected to participate to the best of their ability, be active and open to new experiences. Attitude and effort are key elements to success regardless of ability. CLEMMONS MIDDLE SCHOOL PHYSICAL EDUCATION & HEALTH DAILY GRADE- Each Day Is Worth 5 Points POINTS ARE BASED UPON I have read and understand these Grading Procedures: Student Signature:______ ______________ ______________ __________ Parent/Guardian Signature:______ ______________ ______________ ____ Objective: Students will attend Physical Education class every other day. Health Education studies will be integrated into this time. We believe Physical Education/Health is a vital and integral part of the total educational program. Our goal is to teach: (1) fitness and conditioning; (2) skills for both individual and team activities which will enable students to enjoy lifetime participation; and (3) an appreciation and understanding for good health through selected studies. Grading: Daily Grade = 75% Written Assessment & Fitness Testing = 25% Discipline: Follow the Clemmons Middle School Behavioral Consequences -PLEASE SEE INFORMATION ON BACK-

2. CLEMMONS GYM UNIFORM $ PRICE $ Gray Clemmons Shirt and Navy Blue Shorts $15.00 Price Breakdown: Clemmons Shirt $6.00 Clemmons Short $9.00 In order for this to be a successful year we would like to always keep the communication lines open, therefore we welcome you as a parent/guardian into our classroom at any time. We would love to involve you as much as possible. Parent Contact Information Student Name ___________________________________________________ Parent/Guardian Name(s) __________________________________________ Address ________________________________________________________ Home/Phone # ______________________________ Other/Cell Phone # __________________________ Emergency Contact ______________________Phone # ______________ E-Mail Address _____________________________ ***MEDICAL INFORMATION** PLEASE! make us aware of any special needs or medical specifics we need to know about your child. VERY IMPORTANT- ** If a student is injured or becomes sick during class it is their responsibility to notify a gym teacher before leaving class.** _______________________________________________________ ____________________________________________________________ ____________________________________________________________ ____________________________________________________________ ____________________________________________________________ ____________________________________________________________ Thank you for reading over this information with your child and filling out the information. CLEMMONS PHYSICAL EDUCATION & HEALTH STAFF Mr. Byrne, Ms. Mahaffey, Mr. Witt Please sign and return to your child’s Physical Education Teacher. Student Signature__________________________________________ Parent/Guardian Signature ___________________________________ Physical Education/Health Teacher____________________________