OMB Control #0584-0524| Expiration Date: 06/30/2016
	
	 
		[Type
		the company address] 
 
 
	
Attachment I: Journal for Site Operators
	
	
OMB BURDEN STATEMENT: According to the Paperwork Reduction Act of 1995, no persons are required to respond to a collection of information unless it displays a valid OMB control number. The valid OMB control number for this information collection is 0584-0524. The time to complete this information collection is estimated at 60 minutes, including time to complete and review the information collection.
	
	
	 
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| 
			 Summer Meals Summer Fun 
 | |||||
| Activities | Did you do the activity? | Time spent doing the activity. | Children’s Response | Number of Attendees | The preparation and materials required for this activity were manageable? | 
| Fruit and Veggie Rainbow | 
			Yes
			 | 
			1
			- 9 min.  21
			- 25 min. | 
			Enjoyed
			a lot | *Parents______ 
			 Children______ | 
			Strongly
			Agree | 
| Lights! Camera! Water! | 
			Yes
			 | 
			1
			- 9 min.  21
			- 25 min. | 
			Enjoyed
			a lot | Parents______ 
			 Children______ | 
			Strongly
			Agree | 
| Fruit and Veggie Trivia | 
			Yes
			 | 
			1
			- 9 min.  21
			- 25 min. | 
			Enjoyed
			a lot | Parents______ 
			 Children______ | 
			Strongly
			Agree | 
| Bring the Heat 2-Minute Challenge | 
			Yes
			 | 
			1
			- 9 min.  21
			- 25 min. | 
			Enjoyed
			a lot | Parents______ 
			 Children______ | 
			Strongly
			Agree | 
| Water Sparklers | 
			Yes
			 | 
			1
			- 9 min.  21
			- 25 min. | 
			Enjoyed
			a lot | Parents______ 
			 Children______ | 
			Strongly
			Agree | 
| Fruity Fun Chicken Salad Cups 
 | 
			Yes
			 | 
			1
			- 9 min.  21
			- 25 min. | 
			Enjoyed
			a lot | Parents______ 
			 Children______ | 
			Strongly
			Agree | 
*Refers to Parents/Caregivers
Summer Meals Summer Fun (Continued)
	
| Please describe any modifications or changes you made when leading these activities. | What changes would you make to improve these activities? | 
| 
			 
 
 | 
			 
 
 | 
| Please describe the strengths of the activities. | Please describe the challenges of the activities. | 
| 
			 | 
			 
 | 
| Describe your experience with the Fruity Fun Chicken Salad Cups recipe. | Thinking about all of the activities in this theme, what do you think children learned? | 
| 
			 | 
			 | 
	
	
| Activities | Did you do the activity? | Time spent doing the activity. | Children’s Response | Number of Attendees | The preparation and materials required for this activity were manageable? | |||
| Jump in for Healthy Choices | 
				Yes
				 | 
				1
				- 9 min.  21
				- 25 min. | 
				Enjoyed
				a lot | *Parents______ 
				 Children______ | 
				Strongly
				Agree | |||
| Water Balloon Relay Toss | 
				Yes
				 | 
				1
				- 9 min.  21
				- 25 min. | 
				Enjoyed
				a lot | Parents______ 
				 Children______ | 
				Strongly
				Agree | |||
| Hot Tomato | 
				Yes
				 | 
				1
				- 9 min.  21
				- 25 min. | 
				Enjoyed
				a lot | Parents______ 
				 Children______ | 
				Strongly
				Agree | |||
| Fruit and Veggie Waters | 
				Yes
				 | 
				1
				- 9 min.  21
				- 25 min. | 
				Enjoyed
				a lot | Parents______ 
				 Children______ | 
				Strongly
				Agree | |||
| Watermelon and Spinach Salad | 
				Yes
				 | 
				1
				- 9 min.  21
				- 25 min. | 
				Enjoyed
				a lot | Parents______ 
				 Children______ | 
				Strongly
				Agree | |||
*Refers to Parents/Caregivers
	
Splash into Summer Meals (Continued)
| Please describe any modification you made when leading these activities. | What changes would you make to improve these activities? | 
| 
				 
 
 | 
				 
 
 | 
| Please describe the strengths of the activities. | Please describe the challenges of the activities. | 
| 
				 | 
				 
 | 
| Describe your experience with the Watermelon and Spinach Salad recipe. | Thinking about all of the activities in this theme, what do you think children learned? | 
| 
				 | 
				 | 
| 
				 Movin’ with Summer Meals 
 | |||||
| Activities | Did you do the activity? | Time spent doing the activity. | Children’s Response | Number of Attendees | The preparation and materials required for this activity were manageable? | 
| Red Pepper, Green Pepper, Chili Pepper | 
				Yes
				 | 
				1
				- 9 min.  21
				- 25 min. | 
				Enjoyed
				a lot | *Parents______ 
				 Children______ | 
				Strongly
				Agree | 
| Movie Moves Party Game | 
				Yes
				 | 
				1
				- 9 min.  21
				- 25 min. | 
				Enjoyed
				a lot | Parents______ 
				 Children______ | 
				Strongly
				Agree | 
| Collaborative Poetry Slam | 
				Yes
				 | 
				1
				- 9 min.  21
				- 25 min. | 
				Enjoyed
				a lot | Parents______ 
				 Children______ | 
				Strongly
				Agree | 
| Screen-Free Limbo Challenge | 
				Yes
				 | 
				1
				- 9 min.  21
				- 25 min. | 
				Enjoyed
				a lot | Parents______ 
				 Children______ | 
				Strongly
				Agree | 
| Get Down with Bell Pepper | 
				Yes
				 | 
				1
				- 9 min.  21
				- 25 min. | 
				Enjoyed
				a lot | Parents______ 
				 Children______ | 
				Strongly
				Agree | 
| Berry Jams Party Bites 
 | 
				Yes
				 | 
				1
				- 9 min.  21
				- 25 min. | 
				Enjoyed
				a lot | Parents______ 
				 Children______ | 
				Strongly
				Agree | 
| Please describe any modification you made when leading these activities. | What changes would you make to improve these activities? | 
| 
				 
 
 | 
				 
 
 | 
| Please describe the strengths of the activities. | Please describe the challenges of the activities. | 
| 
				 | 
				 
 | 
| Describe your experience with the Berry Jams Party Bites recipe. | Thinking about all of the activities in this theme, what do you think children learned? | 
| 
				 | 
				 | 
	
	
| 
				 Let’s Celebrate Summer Meals 
 | |||||
| Activities | Did you do the activity? | Time spent doing the activity. | Children’s Response | Number of Attendees | The preparation and materials required for this activity were manageable? | 
| Cheer and Leap Game | 
				Yes
				 | 
				1
				– 9 min.  21
				– 25 min. | 
				Enjoyed
				a lot | *Parents______ 
				 Children______ | 
				Strongly
				Agree | 
| My Party Plate | 
				Yes
				 | 
				1
				– 9 min.  21
				– 25 min. | 
				Enjoyed
				a lot | Parents______ 
				 Children______ | 
				Strongly
				Agree | 
| Play Hard Activity Cube | 
				Yes
				 | 
				1
				– 9 min.  21
				– 25 min. | 
				Enjoyed
				a lot | Parents______ 
				 Children______ | 
				Strongly
				Agree | 
| Herb Tasting Party | 
				Yes
				 | 
				1
				– 9 min.  21
				– 25 min. | 
				Enjoyed
				a lot | Parents______ 
				 Children______ | 
				Strongly
				Agree | 
| Herb Gardening | 
				Yes
				 | 
				1
				– 9 min.  21
				– 25 min. | 
				Enjoyed
				a lot | Parents______ 
				 Children______ | 
				Strongly
				Agree | 
| Parade Day Bean Salad 
 | 
				Yes
				 | 
				1
				– 9 min.  21
				– 25 min. | 
				Enjoyed
				a lot | Parents______ 
				 Children______ | 
				Strongly
				Agree | 
Let’s Celebrate Summer Meals (Continued)
| Please describe any modification you made when leading these activities. | What changes would you make to improve these activities? | 
| 
				 
 
 | 
				 
 
 | 
| Please describe the strengths of the activities. | Please describe the challenges of the activities. | 
| 
				 | 
				 
 | 
| Describe your experience with the Parade Day Bean Salad recipe. | Thinking about all of the activities in this theme, what do you think children learned? | 
| 
				 | 
				 | 
| 
				 Summer Meals, Summer Friends 
 | |||||
| Activities | Did you do the activity? | Time spent doing the activity. | Children’s Response | Number of Attendees | The preparation and materials required for this activity were manageable? | 
| Ultimate MyPlate | 
				Yes
				 | 
				1
				- 9 min.  21
				- 25 min. | 
				Enjoyed
				a lot | *Parents______ 
				 Children______ | 
				Strongly
				Agree | 
| Circle of Friends Cheer | 
				Yes
				 | 
				1
				- 9 min.  21
				- 25 min. | 
				Enjoyed
				a lot | Parents______ 
				 Children______ | 
				Strongly
				Agree | 
| That’s What Friends Are For | 
				Yes
				 | 
				1
				- 9 min.  21
				- 25 min. | 
				Enjoyed
				a lot | Parents______ 
				 Children______ | 
				Strongly
				Agree | 
| Game Inventors | 
				Yes
				 | 
				1
				- 9 min.  21
				- 25 min. | 
				Enjoyed
				a lot | Parents______ 
				 Children______ | 
				Strongly
				Agree | 
| Melon Medley | 
				Yes
				 | 
				1
				- 9 min.  21
				- 25 min. | 
				Enjoyed
				a lot | Parents______ 
				 Children______ | 
				Strongly
				Agree | 
| Summer Vegetable Salsa 
 | 
				Yes
				 | 
				1
				- 9 min.  21
				- 25 min. | 
				Enjoyed
				a lot | Parents______ 
				 Children______ | 
				Strongly
				Agree | 
Summer Meals, Summer Friends (Continued)
	
	
	
	
| Please describe any modification you made when leading these activities. | What changes would you make to improve these activities? | 
| 
			 
 
 | 
			 
 
 | 
| Please describe the strengths of the activities. | Please describe the challenges of the activities. | 
| 
			 | 
			 
 | 
| Describe your experience with the Summer Vegetable Salsa recipe. | Thinking about all of the activities in this theme, what do you think children learned? | 
| 
			 | 
			 | 
	
	
| 
				 Eat Smart to Play Hard 
 | |||||
| Activities | Did you do the activity? | Time spent doing the activity. | Children’s Response | Number of Attendees | The preparation and materials required for this activity were manageable? | 
| Power Up and Give Me 60! | 
				Yes
				 | 
				1
				- 9 min.  21
				- 25 min. | 
				Enjoyed
				a lot | *Parents______ 
				 Children______ | 
				Strongly
				Agree | 
| Five Food Groups Relay Race | 
				Yes
				 | 
				1
				- 9 min.  21
				- 25 min. | 
				Enjoyed
				a lot | Parents______ 
				 Children______ | 
				Strongly
				Agree | 
| Drink Smart to Play Hard | 
				Yes
				 | 
				1
				- 9 min.  21
				- 25 min. | 
				Enjoyed
				a lot | Parents______ 
				 Children______ | 
				Strongly
				Agree | 
| Power Path | 
				Yes
				 | 
				1
				- 9 min.  21
				- 25 min. | 
				Enjoyed
				a lot | Parents______ 
				 Children______ | 
				Strongly
				Agree | 
| Power Up Your Snack | 
				Yes
				 | 
				1
				- 9 min.  21
				- 25 min. | 
				Enjoyed
				a lot | Parents______ 
				 Children______ | 
				Strongly
				Agree | 
| Garden Fiesta Tuna Pockets 
 | 
				Yes
				 | 
				1
				- 9 min.  21
				- 25 min. | 
				Enjoyed
				a lot | Parents______ 
				 Children______ | 
				Strongly
				Agree | 
*Refers to Parents/Caregivers
Eat Smart to Play Hard (Continued)
	
| Please describe any modification you made when leading these activities. | What changes would you make to improve these activities? | 
| 
				 
 
 | 
				 
 
 | 
| Please describe the strengths of the activities. | Please describe the challenges of the activities. | 
| 
				 | 
				 
 | 
| Describe your experience with the Garden Fiesta Tuna Pockets recipe. | Thinking about all of the activities in this theme, what do you think children learned? | 
| 
				 | 
				 | 
	
| File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document | 
| Author | melissa defeo | 
| File Modified | 0000-00-00 | 
| File Created | 2021-01-27 |