Active Academics^® is looking for new lesson ideas to share with other teachers. Please add your new idea below to be considered for publication on Active Academics.

All fields denoted with an asterisk (*) are required to complete the Lesson Idea Submission Form.

Personal Information:

* First Name:	* Last Name:

* Email Address:

* Address 1:	Address 2:

* City:	* State:	* Zip Code:

School Name:	Grades Taught:

Lesson Idea Information:

* Name of Activity:

* Content Standards:

* Purpose of Activity (objectives, etc.)

Materials/Equipment:

* Description: (How is the activity presented?)

* Time: (Time frame for completing activity)

*Activity Space:
Large Open Area     Suitable for Classroom Space

Adaptations: (Special Needs considerations)

Assessment Idea:

Is your lesson idea an original idea?
Yes No

Source: (if NOT an original idea, please list source)

Directions: You may select as many Grade Levels and Content Areas for the Lesson Idea as needed, but you must select at least one Grade Level and one Content Area.
* Grade Level(s): Pre-K K 1 2 3 4 5	* Content Area(s): Classroom Energizers Health Math Physical Education Reading/Language Arts Science / Social Studies

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