2018 Registration Form for Anshei Lubavitch Daycare Center

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2018 Registration Form for Anshei Lubavitch Daycare Center - Fall 2018

1) Make sure to get a confirmation after submitting the form.
2) Make sure to sign up with FACTS to complete your registration process

Child's Last Name *

Child's First Name *

Child's Gender *

Female

Male

Not born yet

Child's Date of Birth *

YYYY

How old will your child be in September 2018 *

Home phone number *

Mother's name *

Mother's cellphone number *

Mother's e-mail address *

Father's Name *

Father's cellphone number *

Father's e-mail address *

Choose which class *

Infant Room (under 12 months in September 2018)

Aleph Class (1 year - 2 years by September of 2018)

Bet Class (2 years - 3 years by September of 2018)

Gimmel Class ( 3 years - 4 years by September of 2018)

Daled Class (4 years - 5 years by Sptember of 2018)

Please be aware that some age groups are closed out. Once you fill out the form, we will let you know if your registration has been accepted.

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This form was created inside of UnitedBrotherhood-LinathHatzedek- AnsheiLubavitch.