Potential Institution Training Registration Form
**Specifically for Independent Centers**
When registering, please note that there is a limit of ONE person per institution.
Please consider sending the person responsible for completing the institution's CACFP application.
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 training materials.
Program Type: (Select the program/s that apply)
Child Care Center
Adult Day Care Center
At-Risk Afterschool Meals
Outside School Hours Care Center
Potential Institution Training is a two day training. Select which training date and location you would like to attend.
Wednesday and Thursday, October 24-25, 8:30am - 4:00pm, Gaston County, NC
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.