Physical Education Exemption Form PE is a required Monument Academy course. If there is a schedule conflict interfering with a Monument Academy required course, a PE exemption may be submitted for consideration. Student Name* First Last Parent Name* First Last Parent Email* Date Date Format: MM slash DD slash YYYY School Year*2018-20192019-20202020-2021Provide a brief rationale for your exemption request.*Reason for Exemption Request:*Ill or injured and a modified program to meet the needs of the student cannot be provided.Is participating in an organized sport or activity that meets or exceeds our minimum requirements (600 minutes per month). This may include, but is not limited to, the following: MA athletic teams, MA cheer team, or other organized sports teams or activities outside of MA.Please fill out the entire section below:Type of outside sport and/or activityLocation of the sport and/or activityStart date of the sport and/or activity Date Format: MM slash DD slash YYYY End date of the sport and/or activity Date Format: MM slash DD slash YYYY Total number of supervised training hours (Not including travel)Select the training days per week Monday Tuesday Wednesday Thursday Friday Saturday Sunday Describe the weekly schedule-time and location of practiceName and contact information of the supervising coach/trainerHow long has your child been involved in the sport/activity?How many competitions/performances will your child participate in this school year?