A reversible food and game tray device for use with a child safety seat includes a two-sided tray that is easily reversible between two sides. One side includes a generally flat surface on which books, toys, games, and the like may be rested for use by a child. An opposed side defines multiple recesses for holding plates, cups, napkins, food, and drink items. The tray includes coupling elements for holding the tray in place as well as for enabling the tray to be quickly and easily reversed between the game and food surfaces. The coupling elements include at least one pin cooperatively positioned for releasably engaging a track. Preferably, two pairs of pins are provided along with a control lever for selectively retracting a selected pair of pins. Operation of the lever enables the tray to be pivoted, slid, and thus reversed.