HomeMy WebLinkAboutCamp Enrollment Verification FormFLORIDA DEPARTMENT OF EDUCATION
FOOD AND NUTRITION MANAGEMENT
SUMMER FOOD SERVICE PROGRAM FOR CHILDREN
CAMP ENROLLMENT VERIFICATION FORM
Sponsor Name City of Miami
Address 444 SW 2 Avenue 8 Floor
Agreement Number Q4-0899
Miami Florida,
Telephone (3 0 5) 416 -13 0 8
Residential Camp
SFSP-S4
x
Zip Code 33130
Date
June 5, 2006
Non-residential Camp
• Dates of
Encampment
Total Children
Enrolled
Number of Children
Eligible for
Reimbursement
June 5, - July
21
•
4,902
4,902
•
•
•
•
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. n\
/n
Signat re of Sponsor or Representative