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!

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                                        Thank You For Signing Up!

                                   We Look Forward to Seeing You!!

                                               God Bless You!!!

       

 

  E-Mail to or Mail to 8890 U.S Hwy 231 Cropwell Al 35054