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February 2015 Connecticut State Department of Education Bureau of Health/Nutrition, Family Services and Adult Education 25 Industrial Park Road Middletown, CT 06457 Summer Food Service Program (SSP)
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Fill in your personal information accurately, including your name, address, contact details, and identification number.
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Provide information about your family members, including their names, ages, and relationship to you.
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The Bureau of Health Nutrition Family is a department responsible for promoting health and nutrition within families.
All families are required to fill out the Bureau of Health Nutrition Family form.
You can fill out the Bureau of Health Nutrition Family form online or by mail.
The purpose of the Bureau of Health Nutrition Family form is to gather information on the health and nutrition status of families.
Information such as family members' health conditions, dietary habits, and any specific nutritional needs must be reported on the Bureau of Health Nutrition Family form.
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