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The Child and Adult Care Food Program
Enrollment Form / Income Eligibility Statement for Children
CENTER NAME:ABC Child Cardinal YEAR:PART 1 E NRO L LM E N T I N FO RM AT IO N
Name(s) of Enrolled
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How to fill out child and adult care

How to fill out child and adult care
01
Gather all necessary information such as personal details, emergency contacts, medical history, and allergies.
02
Complete the sections related to the child or adult's daily routine, including meals, medication schedules, and activities.
03
Make sure to provide accurate and up-to-date information to ensure proper care for the individual.
Who needs child and adult care?
01
Parents who have young children and need child care while they are at work.
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Adults who require specialized care due to medical conditions or disabilities.
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What is child and adult care?
Child and adult care refers to services provided for the supervision and care of children and adults who may need assistance with daily activities.
Who is required to file child and adult care?
Individuals or organizations who provide child and adult care services are required to file.
How to fill out child and adult care?
Child and adult care providers must fill out specific forms provided by the relevant regulatory authorities.
What is the purpose of child and adult care?
The purpose of child and adult care is to ensure the safety, well-being, and proper supervision of children and adults who require care.
What information must be reported on child and adult care?
Information such as the name and age of the individuals receiving care, activities provided, and any incidents that may have occurred must be reported.
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