This document provides instructions for students to practice grammar concepts related to singular and plural nouns. Students are asked to fill in flashcards with "have" or "has" depending on whether the subject is singular or plural. They are also prompted to list illnesses, body parts, and examples using "this is" and "these are". Finally, the document instructs students to do a role play activity where one student is a doctor's receptionist and the other is a patient making an appointment.