FitnessGram® Order Form

Welcome to FitnessGram®! We are delighted to have you join the FitnessGram community. In order for us to set up your account, we will need the following information included in this order form. For questions, please email us at support@fitnessgram.net.

* Required Fields

If you are a Public School District, individual Public School or Charter School (and you are affiliated with a Public School District), please provide the name of your school district. Otherwise, enter 'none'

District Name

*Information Technology (IT) Contact

The District IT specialist or person who will be supporting your FitnessGram implementation.

* First Name

* Last Name

* Title

* Email

* Phone

*Physical Education Contact?

Same as IT contact

This is the person that serves as the primary administrator for FitnessGram®.

* First Name

* Last Name

* Title

* Email

* Phone

Each person signing this Agreement represents and warrants that he or she is duly authorized and has legal capacity to execute and deliver this Agreement. Each party represents and warrants to the other that the execution and delivery of the Agreement and the performance of such party's obligations hereunder have been duly authorized and that the Agreement is a valid and legal agreement binding on such party and enforceable in accordance with its terms.

The effective date of this delegation is from the activation date of the hosted account until either the account expires or delegation has been revoked by the delegating official or his/her successor.

The authority delegated is not subject to sub-delegation without my prior and express written consent.

I have read the terms of use and agree to all terms.

By submitting you agree to users receiving communications from FitnessGram.
If Submit button does not work, please check to make sure you have accepted the terms by checking the checkbox above. Also, please verify that you have filled out all required fields. If you added a new row for high school, please be sure to fill the name and select the New or Renewal Order type. Otherwise, the form will not submit.