TWEEN Program; Muay Thai

Muay Thai

01/07-03/20- 2:30pm-4:30pm
Coach Allan from SitSuphan Muay Thai Boran of Braintree has been teaching through B.A.S.E. for years. Muay Thai is a form of martial arts kickboxing.

We are offering options of 1 or 2 days a week.

Tuesday, January 7th

Tuesday, January 14th

Tuesday, January 21st

Tuesday, January 28th

Tuesday, February 4th

Tuesday, February 11th

Tuesday, February 18th (NO CLASS)

Tuesday, February 25th

Tuesday, March 4th

Tuesday, March 11th

Tuesday, March 18th

...

Thursday, January 9th

Thursday, January 16th

Thursday, January 23rd

Thursday, January 30th

Thursday, February 6th

Thursday, February 13th

Thursday, February 20th (NO CLASSS)

Thursday, February 27th

Thursday, March 6th

Thursday, March 13th

Thursday, March 20th
Student Name

First NameLast Name
Birth Date

MonthDayYear
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
E-mail
example@example.com
Mobile Number
Transportation*
Session Choice:*

Tuesdays Only - 10 SessionsTuesdays & Thursdays - 20 Sessions
Medication*
If your child requires an emergency medication we will need all forms/paperwork and medication in hand before they begin their first day of classes.
If your child requires any emergency medications, what are they?
Muay Thai is a 10 or 20 SESSION Course

10 Sessions = $200.00

20 Sessions = $350.00

Deposit/payment of $100.00 is required for enrollment by 12/09. Second installment payment is due 02/03 in the amount of $100.00/$250.00
Please choose your payment option:*

I will pay in two installments - $100.00 & $100.00/$250.00I will pay in full for 10 Sessions - $200.00I will pay in full for 20 Sessions - $350.00
Payments may be made by check to BASE for $100.00 or $200.00/$350.00

or

Paypal for $105.00/$205.00/$355.00 (this price includes the Paypal processing fee).
The paypal email address is alysa@basekids.com or you can scan the QR code
I give my child permission to attend the B.A.S.E. Tween Program at South Middle School. My child will be dismissed to the B.A.S.E. program directly after school (2:35pm) and check-in to the program by either walking downstairs to the main lobby (if attending South Middle School), getting on the B.A.S.E. bus (if attending East Middle School), or being dropped off by an adult no later than 3:00pm.

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