Food Program School Age Verification for Child 5 years -Licensed Provider Your Six-Digit WECA CACFP Provider Number Your First and Last Name Child's Number Child's Name Child's Date of Birth (MM.DD.YYYY) I certify that this child is 5 years of age, enrolled in full-day school, and in my care no more than 3 hours per day. I certify that this child is 5 years of age, enrolled in full-day school, and in my care no more than 3 hours per day. Yes 6 + 12 = Submit
