Please fill out the form below to document any outside electives taken this semester (HIGH SCHOOL LEVEL ONLY), and PE Hours (ALL GRADES). Community service will be documented at the end of the school year.

Parent Email*
Parent/Guardian Name*
Street Address*
City*
State*
Zip Code*
Phone Number (Include Area Code)*
Student Name*
Student Email*
Student Date of Birth*
ELECTIVE NAME
Discuss what was covered in the named elective above:
Elective Supervisor's Name
Elective Supervisor's Email Address
Time in hours spent on this elective:
Final Grade:
PE Verification-Hours completed this semester: Note, grades 6-8 need 20 per semester. Grades 9-12 need 40*
Supervisor's Name*
PE Supervisor's Name*
PE Grade*
If you have other notes or things you want to let us know about this verification use the box below. *
Write the characters in the image:*
This is a CAPTCHA Image 
 
(*) Mandatory field