Child Registration Application Page 7

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CACFP PROGRAM PARTICIPATION DATA SHEET
MY CHILD IS ENROLLED IN A PRESCHOOL THAT PARTICIPATES IN CACFP, A
FEDERAL PROGRAM WHICH PROVIDES FUNDING FOR NUTRITIOUS AND
DELICIOUS MEALS AT THE SCHOOL AT NO EXTRA COST TO THE PARENTS
CONTINGENT ON INCOME. HE/SHE WILL BE PROVIDED WITH THE
FOLLOWING MEALS:
AM SNACK (9:00 AM)
HOT LUNCH (12 NOON)
HOT SUPPER (3:30 PM)
CHILD’S NAME: ___________________________
DATE OF ENROLLMENT: __________________
PARENT’S SIGNATURE: ____________________
TODAY’S DATE: ___________________________
*PARENTS NEED TO FILL OUT INCOME ELIGIBILITY APPLICATION FORMS
UPON ENROLLMENT AND EVERY YEAR IN JANUARY AS THEY EXPIRE AND
MUST BE UPDATED.
WE APPRECIATE YOUR COOPERATION IN HELPING US PROVIDE THE VERY
BEST FOOD FOR YOUR CHILD WHILE IN OUR CARE, SERVICES ARE PROVIDED
WITHOUT ANY BIAS OR RESTRAINT TO ALL CHILDREN ATTENDING.
SUNNY SKIES PRESCHOOL

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