Potential Institution Training Registration Form
**Specifically for Sponsoring Organizations**
When registering, please note that there is a limit of ONE person per institution.
Please consider sending the person completing this application for your institution)
Attendee First Name
CACFP Agreement Number (ex. 1234)
Institution Address (ex: 999 Sarah Lane):
Contact Number (include area code):
Email Address / This email address will be used to send your confirmation and other training materials.
Program Type: (Select the program/s that apply)
Day Care Homes and Affiliated Centers
Day Care Homes
Day Care Homes and Unaffiliated Centers
Potential Institution Training is a two day training. Select which training you will attend.
Kannapolis, NC / Tuesday, June 13th & Wednesday, June 14th, 2017 / 8:30am - 4:00pm
Hickory, NC / Wednesday, September 13th & Thursday, September 14th, 2017 / 8:30am - 4:00pm
More information about CACFP training
For further assistance with completing this registration, send an email to CACFPtraining@dhhs.nc.gov.
Upon completion of this registration, you will receive a confirmation with a reference number via email.
If you do not receive an immediate confirmation via email please call us at 919-707-5784.
Due to liability issues and out of courtesy to all, we do not allow children at the training session.