Planning and Designing a Developmentally Appropriate Activity 

My chosen skill: _____________________

Age and development level of my learner: 		
Factors that may impact my learner’s growth and development (refer to your class notes):		
Needs of my learners at their stage of development (refer to LTAD):		
Stage of motor learning that I will focus on ( cognitive, associative, autonomous) and what I need to consider about this stage of learning: 		
How my activity might be modified for another age/ developmental stage of learning: 		
How I plan to present my activity to my teacher (filming it, writing it, describing it) 		
My activity: 		
Equipment needed:		
Rules for safety: 		
Instructions: