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Get the free Child and Adult Care Food Program (CACFP) Participant Enrollment Form

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This form is meant for parents/guardians to enroll their child in the CACFP, providing necessary information for the child's participation in the program and ensuring they receive nutritious meals
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How to fill out Child and Adult Care Food Program (CACFP) Participant Enrollment Form

01
Obtain the Child and Adult Care Food Program (CACFP) Participant Enrollment Form from your local CACFP agency or website.
02
Fill in the participant's full name in the designated section.
03
Provide the participant's date of birth and address.
04
Indicate the name of the child care facility or program.
05
Complete the information about the parent or guardian, including their name, contact number, and email address.
06
State the days and times the participant will be attending the program.
07
Indicate any special dietary needs or allergies the participant may have.
08
Review the form for accuracy and completeness.
09
Sign and date the form to certify that the information provided is correct.
10
Submit the completed form to the appropriate authority as directed.

Who needs Child and Adult Care Food Program (CACFP) Participant Enrollment Form?

01
Individuals, families, or guardians who wish to enroll children or adults in a child care program that participates in the CACFP.
02
Child care centers, family day care homes, and afterschool programs that provide meals for participants.
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The CACFP Participant Enrollment Form is a document used by providers to enroll children and adults in the Child and Adult Care Food Program, which provides nutritious meals and snacks to eligible participants.
Healthcare providers, daycare facilities, and any institutions participating in the CACFP are required to file the Participant Enrollment Form to ensure that the individuals receiving care are eligible for the program.
To fill out the form, participants or guardians must provide personal information about the enrolled individual, including name, address, date of birth, and information about family income or benefits to determine eligibility.
The purpose of the form is to collect necessary information to determine eligibility for the CACFP and to ensure that participants receive meal benefits in accordance with the program's guidelines.
The form must report the participant's name, date of birth, address, family size, and income information, as well as any applicable eligibility status such as participation in other assistance programs.
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