Michigan Department of Education SFSP Field Trip Notification Form 2023

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Sponsor Information

Name of Person Submitting Form

Email of Person Submitting Form

Directions

Please select how many field trip submissions you would like to submit.

Field Trip 1

Field Trip Date

Site Name

Meals to Be Taken Offsite

Breakfast

Lunch

Snack

Supper

Serving Time-Breakfast

Serving Time-Lunch

Serving Time-Snack

Serving Time-Supper

Will Meal Service Operate at Regular Site?

Number of Children

Name and Address Where Meals Will Be Taken

Field Trip 2

Field Trip Date

Site Name

Meals to Be Taken Offsite

Breakfast

Lunch

Snack

Supper

Serving Time-Breakfast

Serving Time-Lunch

Serving Time-Snack

Serving Time-Supper

Will Meal Service Operate at Regular Site?

Number of Children

Name and Address Where Meals Will Be Taken

Field Trip 3

Field Trip Date

Site Name

Meals to Be Taken Offsite

Breakfast

Lunch

Snack

Supper

Serving Time-Breakfast

Serving Time-Lunch

Serving Time-Snack

Serving Time-Supper

Will Meal Service Operate at Regular Site?

Number of Children

Name and Address Where Meals Will Be Taken

Field Trip 4

Field Trip Date

Site Name

Meals to Be Taken Offsite

Breakfast

Lunch

Snack

Supper

Serving Time-Breakfast

Serving Time-Lunch

Serving Time-Snack

Serving Time-Supper

Will Meal Service Operate at Regular Site?

Number of Children

Name and Address Where Meals Will Be Taken

Field Trip 5

Field Trip Date

Site Name

Meals to Be Taken Offsite

Breakfast

Lunch

Snack

Supper

Serving Time-Breakfast

Serving Time-Lunch

Serving Time-Snack

Serving Time-Supper

Will Meal Service Operate at Regular Site?

Number of Children

Name and Address Where Meals Will Be Taken

Field Trip 6

Field Trip Date

Site Name

Meals to Be Taken Offsite

Breakfast

Lunch

Snack

Supper

Serving Time-Breakfast

Serving Time-Lunch

Serving Time-Snack

Serving Time-Supper

Will Meal Service Operate at Regular Site?

Number of Children

Name and Address Where Meals Will Be Taken

Field Trip 7

Field Trip Date

Site Name

Meals to Be Taken Offsite

Breakfast

Lunch

Snack

Supper

Serving Time-Breakfast

Serving Time-Lunch

Serving Time-Snack

Serving Time-Supper

Will Meal Service Operate at Regular Site?

Number of Children

Name and Address Where Meals Will Be Taken

Field Trip 8

Field Trip Date

Site Name

Meals to Be Taken Offsite

Breakfast

Lunch

Snack

Supper

Serving Time-Breakfast

Serving Time-Lunch

Serving Time-Snack

Serving Time-Supper

Will Meal Service Operate at Regular Site?

Number of Children

Name and Address Where Meals Will Be Taken

Field Trip 9

Field Trip Date

Site Name

Meals to Be Taken Offsite

Breakfast

Lunch

Snack

Supper

Serving Time-Breakfast

Serving Time-Lunch

Serving Time-Snack

Serving Time-Supper

Will Meal Service Operate at Regular Site?

Number of Children

Name and Address Where Meals Will Be Taken

Field Trip 10

Field Trip Date

Site Name

Meals to Be Taken Offsite

Breakfast

Lunch

Snack

Supper

Serving Time-Breakfast

Serving Time-Lunch

Serving Time-Snack

Serving Time-Supper

Will Meal Service Operate at Regular Site?

Number of Children

Name and Address Where Meals Will Be Taken

Comments

Overall comments for MDE?

Certification

With the submission of this form, I certify all SFSP rules will be applied to all meals taken off-site including complete meals being served during the approved time frames and a point of service meal count will be taken.

Sponsor Information

Directions

Field Trip 1

Field Trip 2

Field Trip 3

Field Trip 4

Field Trip 5

Field Trip 6

Field Trip 7

Field Trip 8

Field Trip 9

Field Trip 10

Comments

Certification

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