Child and Adult Care Food Program Sponsor/Center Name: Child Enrollment Form (Sample) Agreement #:Enrollment Form • May 8th, 2017
Contract Type FiledMay 8th, 2017This document does not have to be completed for children in Emergency Shelters, Outside School Hours, and/or At-Risk programs. It is recommended to have new CACFP Annual Enrollment Forms completed each year during the Household Eligibility Application renewal period. Review completed enrollment form and enter the effective date in lower right hand section.