Please provide all information, this will help speed up the registration process.
What type of meal service will you be requesting? (Select all options that apply)

Organization Details

Organization/Provider Full Name
School Address
City Status
State Zip Code
Borough District
Program Type
Program Director Full Name Evening Phone
Day Phone Day Phone Extension
Email Email2
Organization/Company Phone Org Phone Extension
***If you have a program with students ages 12 and under and 13 and above and you will exceed your approved SACC license total capacity, you must submit a separate application just for students ages 13 and above***
Ages Of Children From : To :

SACC License Details

License/ Registration ID
License Total Approved Capacity as shown on SACC
Registration Effective Date Registration Expiration Date

Upload SACC License (PDF)


Sharing SACC License Information

Is your program sharing the SACC license information with another school?
Sharing Existing UserName