Infant Foods Provided by Parent

Effective October 1, 2017, parents/guardians may supply (but are not required to supply) one meal component for their infant. You must provide all other required meal components in order for the meal service to be reimbursable. You can update information for up to five different children.

I HEREBY CERTIFY to the best of my knowledge that this information is true, correct, and in accordance with the terms of our existing agreement and that records are available to support this information. I understand that this information is being given in connection with the receipt of federal funds and that deliberate misrepresentation may subject me to prosecution under applicable state and federal criminal statutes.”

Infant Foods Provided by Parent Form

Infant #1 Breakfast

Infant #1 A.M. Snack

Infant #1 Lunch

Infant #1 P.M. Snack

Infant #1 Dinner

Infant #1 Evening Snack

Infant #2 Breakfast

Infant #2 A.M. Snack

Infant #2 Lunch

Infant #2 P.M. Snack

Infant #2 Dinner

Infant #2 Evening Snack

Infant #3 Breakfast

Infant #3 A.M. Snack

Infant #3 Lunch

Infant #3 P.M. Snack

Infant #3 Dinner

Infant #3 Evening Snack

Infant #4 Breakfast

Infant #4 A.M. Snack

Infant #4 Lunch

Infant #4 P.M. Snack

Infant #4 Dinner

Infant #4 Evening Snack

13 + 2 =

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