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CHILD CARE FOOD PROGRAM ENROLLMENT FORMProviders Initials: ___ Date: ___To be completed by Parent or Guardian You have chosen a daycare that participates on the USDA Child and Adult Care Food Program
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To fill out child and adult care, follow these steps:
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Provide personal information: Fill out the required fields with your personal information, including your name, address, contact number, and email.
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Specify the type of care needed: Indicate whether you are seeking child care or adult care. If both, provide details for each.
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Age and specific requirements: Mention the age of the child or adult requiring care and any specific needs or preferences.
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Schedule and duration: State the days and times you need care, as well as the duration (e.g., hourly, daily, weekly).
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Additional information: Provide any additional details, such as allergies, medical conditions, or any special instructions for the caregiver.
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Submit the form: Once you have completed all the necessary information, submit the form either online or in person, depending on the provider's instructions.

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Child and adult care is needed by individuals who require assistance in taking care of their children or adults who cannot fully care for themselves.
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Adult care is needed by individuals who may be elderly, disabled, or have certain medical conditions that require assistance with daily activities and personal care.
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Child and adult care refers to services provided to children and adults who require supervision and assistance with daily activities.
Individuals or facilities that provide child and adult care services are required to file with the appropriate regulatory agencies or government departments.
To fill out child and adult care forms, providers must gather information about the care recipients, services provided, hours of care, fees charged, and any other relevant details.
The purpose of child and adult care is to ensure the safety, well-being, and proper supervision of individuals who require assistance with daily activities.
Information that must be reported on child and adult care includes the names and ages of care recipients, services provided, hours of care, fees charged, and any incidents or accidents that occurred during care.
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