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Growing Healthy Kids Child Care Enrollment Form 

 

If you are a licensed child care center operating in the City of Columbus, you are eligible to work with our team at no cost to you!

By submitting this enrollment form below, you are indicating your interest in participating in the Growing Healthy Kids program. By participating, your center will receive the following:

  • Ohio-approved training at no cost
  • On-site visits from a registered dietitian to support menu planning, healthy program policies and strategies to involve families
  • Free program resources (kid-friendly recipes, gardening tools, play equipment, etc.)

One of our team members will reach out to you within five business days to provide more information and schedule your first on-site visit.

 

About You     

Center Name: 

Street Address: 

Zip Code: 

Phone: 

Director's Name: 

Assistant Director's Name: 

Contact E-mail: 


About Your Program 

Number of teachers: 

Number of administrators: 

Infants currently enrolled: 

Toddlers currently enrolled: 

Preschoolers currently enrolled: 

School-aged currently enrolled: 

Step Up To Quality Rating (number of stars): 

Food Service Risk Level: 

 

Does your center participate in the Child and Adult Care Food Program (CACFP)?

      

Do any children enrolled participate in subsidized child care services?

              

If so, how many children? 

 

How did you hear about our program?