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Click ‘Get Form’ to open the FDCH Child Enrollment form in the editor.
Begin by entering the Provider Name and Phone Number at the top of the form. Ensure that all information is accurate for effective communication.
Fill in the Parent/Guardian Name, Phone Number, Address, City, Work Organization, and ZIP code. This section must be completed clearly as it is essential for enrollment.
In the Child Information section, provide details such as Enrolled Child's Full Name (including Nickname), Birth Date, Sex, and Relationship to Provider. Be sure to check the appropriate boxes for Times of Arrival and Departure.
Complete the School Information section by indicating if your child attends school, their schedule, and any special dietary needs they may have. If applicable, attach a medical note for dietary restrictions.
Finally, review all entered information for accuracy before signing. Both Parent/Guardian and Provider signatures are required along with dates.
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Child enrollment forms must be in the office by the 5th day of the month, or the children may be disallowed on your claim. If you use the scannable form you can
The Family Day Care Homes (FDCH) Program is a federally funded program designed to offer aid to help day care homes provide nutritious meals to children ages 12
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