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Unwilling or unable to respond to and report medical emergencies that may occur on school grounds or during student participation in school-sponsored activities
Plans to close or merge with another school within 3 years
Fewer than 90 girls in the 8th grade
Expected transience rate ≥28% in any given year or ≥35% over 2 years
Does not offer physical education each semester for all grades
Fewer than 2 (year-round schools) or 3 (semester-based schools) physical education classes per week
Participation in pilot testing of study materials
Student exclusion criteria
Unable to read and understand questions written in English
Been told by a doctor to avoid exercise for health reasons
Medical conditions including:
muscle, bone, or joint problems
heart problem that requires a limitation in physical activity
fainting with exercise in the past 6 months
uncontrolled asthma
very high blood pressure not controlled on medication
diabetes with frequent very low or very high blood glucose levels
thyroid problems not controlled with medication
seizures not controlled with medication
sickle cell disease
cystic fibrosis
anorexia nervosa
severe kidney problems
severe liver problems
blood condition that increases the risk of bleeding
Parent unwilling or unable to give informed consent