LPS Registration Fee Payment From 

Thank you for submitting your application to Lubavitch on the Palisades. 

Applications will not be processed and will remain on hold in the business office until registration payment is received. 

 

Child's name*
Billing  Address*
City* 
State* 
Zip*
Telephone*
Email *


Applying For:

 Daycare (ages 0 - 17 months)

Preschool (ages 18 months - Kindergarten)

Elementary & Middle School (Grades 1- 8)

Name on Card*
Card Type*
Card Number*
Expiration Date*
CVV Security Code*

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