Tracking Form

2011 Fitness Testing

Pre-Test Results (please print)

First Name b                                                       Last Name s                       Student #

Height (inches)                 61in.

                                 Weight (pounds)            112         Body Mass Index (BMI) 21

Healthy Fitness Zone (HFZ) is calculated using your age – refer to the Fitnessgram Standards

Cardiovascular Endurance

Mile Run (min:sec)                                                          HFZ Achieved (yes/no)  yes        

20 Meter Pacer Run (laps) 63                                      HFZ Achieved (yes/no) yes

Muscular Strength and Muscular Endurance

Curl Ups               31                                                           HFZ Achieved (yes/no) yes

Push Ups             10                                                           HFZ Achieved (yes/no) yes

Flexed Arm Hang (seconds)                                        HFZ Achieved (yes/no) yes

Flexibility

Sit and Reach – Left Leg                12                           HFZ Achieved (yes/no) yes

Sit and Reach – Right Leg              12                           HFZ Achieved (yes/no) yes

Shoulder Stretch – Left Arm                                        HFZ Achieved (yes/no) yes

Shoulder Stretch – Right Arm                                     HFZ Achieved (yes/no) no

Trunk Lift                                             9                              HFZ Achieved (yes/no) yes

Additional Tests

Speed and Agility Test = Shuttle Run (seconds)

Vertical Leap (inches)

Body Fat Percentage (%)