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Get Usda_food_program_enrollment_form.pdf 59.8 Kb

Dear Parent: Please fill out the following information to enroll your children in the USDA Child Care Food Program which reimburses licensed or approved childcare providers for serving nutritious, well balanced meals to children in their care. THIS FORM IS TO BE FILLED OUT BY THE PARENT OR GAURDIAN ONLY. Mark USUAL Meals needed with an X Mark OCCASIONAL meals with an OCC FIRST & LAST NAME OF CHILD(REN) Birth Date Morning Afternoon Breakfast Snack Lunch Snack 9AM to 11:30AM 1:30PM.

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