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Thanks for your interest in Energy Krazed. If you are interested in enrolling or if you would like to enroll a child, patient, or student in our 9-week program, please fill out the form below and we will be in touch as soon as possible. If you are under 18, please have a parent help you fill out the form. *Enrollees must be at least 13 years of age to be eligible for the program.

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Enrollee Physical Fitness Profile

We will use this information to determine if you are eligible for the program.

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