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Check box if child is absent. Daily health care check must be checked after conducted* If there are health care concerns notes must be recorded elsewhere. CACFP participants may use this form to record each child s food participation for each day. MONDAY CHILD S NAME First Name Last Name DOB / FOOD B AM L PM S EV Date TUESDAY IN OUT Absent Health check THURSDAY WEDNESDAY B Breakfast AM AM snack L Lunch PM PM snack S Supper EV Night snack FRIDAY Page totals B Food Totals.

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