Three Meal Menu Template
NAME OF CENTER/FACILITY WEEK OF YEAR
BREAKFAST
DATE
DATE
DATE
DATE
DATE
Fluid Milk
Juice, Fruit, or Vegetable
Grain/Bread
Other Foods
LUNCH
Fluid Milk
2 Servings of Different
Fruit and/or Vegetables
Grain/Bread
Meat or Meat Alternate
Other Foods
Other Foods
SNACK AM or PM (Circle)
Serve 2 of 4 components
Fluid Milk
Juice, Fruit, or Vegetable
Grain/Bread
Meat or Meat Alternate
Other Foods
MO 58 0-1463 (rev 6-2012) CACFP-218 – 3 meal
MISSOURI DEPARTMENT OF HEALTH AND SENIOR SERVICES
BUREAU OF COMMUNITY FOOD AND NUTRITION ASSI STANCE
CHILD AND ADULT CARE FOOD PROGRAM
3-MEAL MENU TEMPLATE
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