Twist & Sprout Certificate Application

Welcome to the application for the Twist & Sprout Certificate. This certificate recognizes child care providers in Minnesota who have implemented the following best practices in nutrition, physical activity and breastfeeding support:

1. Follow proper labeling procedure for breast milk
2. Serve a daily menu with vegetables two times each day
3. Serve family-style meals
4. Provide adequate amounts of active play
5. Have a wellness policy in place

Should you have trouble with this application, please contact Carolyn Morain cmorain@providerschoice.com.

For more information, tools and resources from Twist & Sprout, please visit www.providerschoice.com/twistandsprout

Support for Twist & Sprout is generously provided by the Center for Prevention at Blue Cross and Blue Shield of Minnesota, the Cargill Foundation and the Statewide Health Improvement Program.

First Name *

Last Name *

Email Address *

Please type carefully.

Mailing Address *

City, State, ZIP code *

What type of child care program do you work with? *

Licensed family child care

Unlicensed family child care

Licensed child care center

I am not a child care provider or employee of a child care center

Does your child care program participate on the Child and Adult Care Food Program? *

Yes

I do not qualify for the Child and Adult Care Food Program

If your program participates on the Child and Adult Care Food Program which reimbursement rate do you receive? *

If you are unsure of your reimbursement rate, go to http://education.state.mn.us/Maps/sfsp.htm and enter your address in the top right box

Tier 1

Tier 2

I do not participate on the Child and Adult Care Food Program

I do not qualify for the Child and Adult Care Food Program

How many children are enrolled in your child care program? *

In which county is your child care program? *

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