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(Given Name)
(Middle Name)
(Month/Day/Year)
(Age)
(Male/Female)
SCHOOL/ADDRESS/DIVISION Mabiga Elementary School/El Rosario Village, Mabiga/City Schools Division of Mabalacat
HOME ADDRESS & TEL. NO. _________________________________________________________________________
PART I PHYSICAL FITNESS COMPONENTS
1. NUTRITIONAL FITNESS BODY MASS INDEX (BMI) _______________________ CLASSIFICATION ________________
WEIGHT _________Kilograms
HEIGHT ______________ Meters
2. MASCULAR FITNESS
PARTIAL
CURL-UPS _____________
TRUNK
LIFT ______________
3. FLEXIBILITY FITNESS
SIT AND REACH
Left Leg Bent _________________ Centimeters
Right Leg Bent ________________ Centimeters
90-DEGRESS
PUSH-UPS ______________
SHOULDER FLEXIBILITY
Right Arm Up ______________ Centimeters
Left Arm Up _______________ Centimeters
4. PHYSCIOLOGICAL FITNESS
1-KILOMETER RUN (1000m): Time _____________ Minutes & Seconds
EVALUATION
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PART II SPORTS TALENT COMPONENTS
ANTHROPOMETICS
SITTING HEIGHT _____________ Centimeters
MASCULAR POWER
STANDING LONG JUMP __________ Meters
EVALUATION
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TESTED: First Time: _____________________________________