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[null,"SFSP Camp Pricing Policy Statement"]
[null,"PART I: Preliminary Information"]
[null,"Sponsor Name:"]
[null,"Agreement Number:"]
[null,"Number of Camp Sites:"]
[null,"Provide below a description of the method to be used in accepting applications from families for Program meals that ensures that households are permitted to apply on behalf of children who are members of households receiving SNAP, FDPIR, or TANF benefits using the categorical eligibility procedures described in 7 CFR 225.15(f)."]
[]
[null,"Provide below a description of the method to be used be used for collecting payments from children who pay the full price of the meal while preventing the overt identification of children receiving a free meal."]
[]
[null,"         The sponsor assures that all children are served the same meals and that there is no discimination in the course of the food service."]
[null,"         The eligibility standards will conform to the Secretary's family size and income standards for reduced price school meals."]
[null,"         The sponsor assures it will establish hearing procedures for families requesting to appeal a denial of an application for free meals.  These procedures will adhere to the requirements in 7 CFR 225.6(f)(2)."]
[null,"         The sponsor assures if a family requests a hearing, the child will continue to receive free meals until a decision is rendered."]
[null,"         The sponsor assures there will be no overt identification of free meal recipients and no discrimination against any child on the basis of race, color, national origin, sex (including gender identity and sexual orientation), age, or disability."]
[null,"         The sponsor will submit its hearing procedures statement to GA DECAL."]
[null,"PART II: Certification Statement"]
[null,"I certify/attest the information contained within this SFSP Camp Pricing Policy Statement is true and correct to the best of my ability and that intentionally listing false or inaccurate information and/or failure to notify DECAL when the information contained in this document changes, may result in the denial of a claim(s) for reimbursement and/or termination and disqualification of the organization, its responsible principals and/or individuals from participation the in CACFP, SFSP, or any other Child Nutrition Program (CNP)."]
[null,null,null,null,null,"Yes","No"]
[null,"PART III: Signature"]
[null,"Electronic Signature of Program Contact or Authorized Representative: ",null,null,null,null,null,null,"/s/   [TYPE YOUR NAME HERE]                     [TYPE THE DATE HERE]  "]