Get the free Child and Adult Care Food Program Enrollment Form

Prototype form for use by child care centers and Head Start programs to enroll children in the Child and Adult Care Food Program (CACFP).

How to fill out child and adult care

How to fill out Child and Adult Care Food Program Enrollment Form

1. Obtain the Child and Adult Care Food Program Enrollment Form.
2. Fill out the child's name and date of birth in the designated sections.
3. Provide the parent's or guardian's name and contact information.
4. Indicate the type of care facility and its address.
5. Specify the days and hours of care provided.
6. List any dietary restrictions or special needs of the child.
7. Review the eligibility criteria and check the appropriate boxes to confirm.
8. Sign and date the form as the parent or guardian.
9. Submit the completed form to the care provider for processing.

Who needs Child and Adult Care Food Program Enrollment Form?

1. Children enrolled in licensed child care facilities.
2. Adults participating in adult day care programs.
3. Care providers who receive reimbursement for meals provided to eligible participants.

People Also Ask about

What is the child and adult food program in Illinois?

The Child and Adult Care Food Program (CACFP) is a federal nutrition education and meal reimbursement program. CACFP partially reimburses participating agencies providing healthy meals and snacks at Adult Day Service Centers under the Community Care Program.

What does the CACFP provide aid to?

To be eligible for participation in CACFP, a sponsor must be a licensed or approved child care provider or a public or nonprofit private school which provides organized child care programs for school children during off-school hours.

Do I have to fill out CACFP form?

Please fill out the CACFP Meal Benefit Income Eligibility form. It helps us find out if your household qualifies for free or reduced-price meals. This lets us know how much money CACFP will give to support your day care home or center. Here are instructions to help you fill out the form.

What is the CACFP enrollment form?

ENROLLMENT FORM. Required Form for use by Child Care Centers and Head Start Programs. CACFP programs exempt from having an enrollment form on file are: Emergency Shelters, Outside School Hours, Youth Development & After School at Risk.

What is the child and adult care food program?

The Child and Adult Care Food Program (CACFP) is a federal program that provides reimbursements for nutritious meals and snacks to eligible children and adults who are enrolled for care at participating child care centers, day care homes, and adult day care centers.

Who is eligible for the Child and Adult Care Food Program CACFP?

A fruit and vegetable can be served as the two components at a CACFP snack. For example, you can serve carrots and grapes or apple slices and jicama sticks. Serve a rainbow of colors. The different colors provide an array of vitamins and minerals essential for good health.

What is an example of a CACFP approved snack?

How CACFP Works. The Child and Adult Care Food Program provides healthy meals to preschool children in day care centers and child care homes at a free or reduced-price. CACFP also provides free meals to children experiencing homelessness residing in eligible emergency shelters.

For pdfFiller’s FAQs

What is Child and Adult Care Food Program Enrollment Form?

The Child and Adult Care Food Program Enrollment Form is a document used to enroll children and adults into the Child and Adult Care Food Program, which provides nutritious meals and snacks to eligible participants in childcare settings.

Who is required to file Child and Adult Care Food Program Enrollment Form?

Childcare providers participating in the Child and Adult Care Food Program are required to file the Enrollment Form for each child or adult in their care who will receive benefits from the program.

How to fill out Child and Adult Care Food Program Enrollment Form?

To fill out the Child and Adult Care Food Program Enrollment Form, individuals must provide details such as the participant's name, date of birth, enrollment date, and any dietary needs, as well as the provider's information and signature.

What is the purpose of Child and Adult Care Food Program Enrollment Form?

The purpose of the Enrollment Form is to collect necessary information to ensure that participants are eligible for the program and to facilitate the allocation of funding for meals and snacks provided.

What information must be reported on Child and Adult Care Food Program Enrollment Form?

Required information on the Enrollment Form includes the participant's name, birthdate, enrollment dates, parent or guardian information, and any specific dietary restrictions or allergies.