2025-2026 Registration Form for Anshei Lubavitch Daycare Center - Fall 2025
1) Make sure to get a confirmation after submitting the form.
2) Make sure to sign up with FACTS to complete your registration process | Returning students do not need a new FACTS account
3) Returning students, please use the unique registration link that was emailed to you. Contact our office if you need this link resent.
4) For information about registration fees and tuition, please visit our website 
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Email *
Child's Last Name *
Child's Legal First Name *
Child's name to be called at school *
e.g. Mordy vs Mordechai
Child's Gender *
Female | Male | Not born yet
Child's Date of Birth [MM/DD/YYYY] *
Please put due date for unborn child 
Child's current age *
ex: 2 years, 3 months
How old will your child be in September 2025 *
ex: 4 years, 2 months
Choose which class child will be in September 2025 *
We are working on opening more classes for Bet, Gimmel, and Daled. There is no registration fee for children on the waiting list. Charges begin when a child is placed in a class. 
Which class was your child in this past year? *
For new students please write: New Student
Home phone number  *
Mother's name *
Mother's cellphone number *
Mother's email address *
Father's name *
Father's cellphone number *
Father's email address *
Street Address *
City *
State *
Zip Code *
Does your child have any health or behavioral conditions that we should be aware of?
 *
Please provide any relevant information about their condition
FOR OFFICE USE ONLY: Child's student ID
For existing students, this number will auto-populate, please do not edit it. 
For new students, please leave this blank
A copy of your responses will be emailed to the address you provided.
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This form was created inside of UnitedBrotherhood-LinathHatzedek- AnsheiLubavitch.