Florida Department of Health
Child Care Food Program

Dear Parent:
Please fill out the following information so that your child may participate in the Child Care Food Program, which reimburses child care providers for serving nutritious, well-balanced meals to children in child care

If child care hours are the same every day, please complete this chart

Day

Mon – Fr

Normal Hours in Care

 to

Meals Normally Received While in Care

OR

If child care hours are not the same every day, please complete this chart.

Monday

Tuesday

Wednesday

Thursday

Friday

Saturday

Sunday

 to

 to

 to

 to

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