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* 1.  Your Site Name

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* 2. Please provide the following information regarding the PERSON AT THE SITE RESPONSIBLE FOR MEAL SERVICE:

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* 3. Please provide the information regarding the SUPERVISOR OF THE ENTIRE PROGRAM (not just meal service) at this location

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* 4. What is the LAST DATE of your summer program? (If you are not participating with UMC Food during the summer enter, "NA")

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* 5. Please provide start date of MEALS for your SCHOOL YEAR PROGRAM:

Date

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* 6. What days of the week will you be serving? (click all that apply)

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* 7. How many children do you expect to attend your program (each day) during the year?

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* 8. What meal(s) would you like to serve?

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