Farm to CACFP Partner Submission Form - Child and Adult Care Food Program

Center Name*

Center Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Contact Name*

First Last

Contact Email*

Does this center currently participate in the CACFP?*

Activity/Event Date

Is this activity ongoing?

If yes, for how long?

If this event or activity is in the future, are you interested in hosting a representative from VDH or USDA?*

Activity Type*

Activity Description*

Upload Photos (if applicable)

Max. file size: 100 MB.

Please share any photos, flyers, parent newsletter, or other documents related to the event.

This center has written parental/participant consent on file to share photos.*

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