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Get Wi Department Of Public Instruction Caccp Enrollment Form

Wisconsin Department of Public Instruction CACFP ENROLLMENT FORM PI-6077 Rev. 04-11 GENERAL INFORMATION Child s Name Child Care Facility Child s Age HOURS AND MEALS WHILE IN CARE Days Normally in Care Check Meals Normally Received While in Care Hours Normally in Care From To Breakfast AM Snack Lunch Supper Evening Sunday Monday Tuesday Wednesday Thursday Friday Saturday Additional Information Signature of Parent/Guardian Date Signed ANNUAL UPDAT.

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