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The President's Challenge offers several alternative programs. The [https://www.hhs.gov/fitness/programs-and-awards/presidential-youth-fitness-program/index.html Presidential Youth Fitness Program] (which measures improvement for students in grades 4-12) or the Presidential [https://www.hhs.gov/fitness/programs-and-awards/pala/index.html President's Challenge Active Lifestyle Award Program] (PALA+) which requires:
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