Healthy Habits Class Sign Up Form
Classes are Only $10.00 per person per class
Some Classes has Other Fees for Material Used duing Class
Some Classes Offer Meals to be Served Before or After Class
Certificates will be offered when Completion of Certain Courses
Special Family Rates, Children Rates, and Senior Rates
Student Registrations Must have a Parents Signature.
Name____________________________Date_____________
Address_____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
Birthday ____________________ Student Y or N
Emergency Contact Name and Number ______________________________
E-mail Address __________________________________________________
Health Concerns_____________________________________________________________________________________________________________________________________________________________________________________
Class Options
1. Healthy Heart Class (Class Teachings Only)
One on One Class Options - Nutritional, and Fitness Programs Designed to
Meet Your Needs
2. Controling Diabetes Class (Class Teachings Only)
One on One Class Options - Nutritional, and Fitness Programs Designed to
Meet Your Needs
3. Vegan Cooking Classes
4. Dancercize Classes
5. AEA Program or Summer Programs Ages 7-to-12 Hands On Learning
Fun Education
Each Month there will be be added Class Options Please Check back or sign up for our Monthly News Letter.
If there is a Class Subject you are interrested in let us know and we will do our best to include your idea in our up coming Class Schedule!
___________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
Thank You For Signing Up!
We Look Forward to Seeing You!!
God Bless You!!!
E-Mail to Info@Giagatts.com or Mail to 8890 U.S Hwy 231 Cropwell Al 35054