Summer Food Service Program Registration Site Name*Have you participated in the ETFB Summer Food Program in the past?* Yes No Physical Address*Mailing Address*Primary Contact*Phone Number - Primary*Email Address - Primary* Secondary Contact*Phone Number - Secondary*Email Address - Secondary* Nearest Elementary School to your site*Desired Operating Dates (Program is offered June 6th - August 11th)*Anticipated closure date (field trips, special events, holidays)*Operating Days (M-F)* Monday Tuesday Wednesday Thursday Friday Additional meal service if desired. LUNCH IS MANDATORY* Breakfast I would only like to serve Lunch Adequate Refrigeration*Please SelectYesNoRequested time of LUNCH service, beginning and end*Requested time of BREAKFAST service, beginning and end (if applicable)How many children do you estimate you will serve per day?*Attendance/participation for Summer Meal programs is greatly increased when kids' activities are planned in addition to the meal(s). What additional activities/incentives for attendance will you provide at your site?*All sites will utilize paperless meal count forms. Please verify that you have a computer/smart device (phone/tablet) and can connect to the internet during your meal service.* Yes, I do. No, I do not Additional comments and/or important information you'd like to share regarding your site.
