Sign-Up Form – FuelUp Challenge Center

Please fill out the form below to sign up for the Fuel Up Challenge Center.

You must sign up here in order to be eligible for Fuel Up Challenge Center rewards and badges.

Learn more about this popular national program:

First Name

Last Name

School

If you are under the age of 13, please have a parent or guardian enter their email address. BE SURE TO PROVIDE AN EMAIL ADDRESS THAT CAN RECEIVE OUR UPDATES.

How did you hear about the Challenge Center website?

If a teacher or other adult at school told you, please include that person’s name here:

Teacher's or Adult's Email

Check One

I am over the age of 13 I am under the age of 13 and I have my parent or guardian's permission to receive emails about the Fuel Up Challenge Center

Please read and check the box below

I give permission to American Dairy Association North East to register me at FuelUpChallenge.com and FuelUp.org