Hinsdale Central Fall Physical Education         Exemption 2021
                                         SEASONAL PHYSICAL EDUCATION EXEMPTION FORM
The student-athlete whose signature appears on this form has elected to take a Physical Education Exemption in lieu of his/her physical education class.  This is a quiet study hall where students are engaging in academic work.  A student-athlete must be enrolled in a full day of academics to be eligible for the exemption.  The student-athlete must attend Physical Education Resource/Study Hall in order to receive physical education credit.  The student-athlete understands that he/she must return to physical education immediately, dress in proper physical education attire, and participate in physical activity when:
1) Student-athlete’s participation season is over (S/A is no longer competing)
2) Quitting the team.
3) Being dropped from the team.
4) The student-athlete is excessively truant from PE Resource/Study Hall or has excessive absences from PE
    Resource / Study Hall or team attendance
5) If the student-athlete fails to behave properly a conduct referral will be submitted to the Dean’s Office and a
    behavioral intervention will be initiated
6) Has not completed ALL FITNESSGRAM testing
7) Violation of the Athletic Code or IHSA Athletic Code


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FIRST NAME *
LAST NAME *
Student ID Number *
Student's school email address *
Physical Education class period *
Please write in your PE teacher's name *
Fall Sport *
Do you currently has a study hall in your academic schedule? (If you do you will not qualify for a PE exemption) *
By clicking this box you agree to all terms of the physical education exemption policy.   *
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