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Get Bright From The Start Amendment Form

Child Care Services Division BRIGHT FROM THE START Georgia Department of Early Care and Learning APPLICATION FOR LICENSE AMENDMENT Current name of Facility d/b/a Legal Name of Facility Site Address Telephone Area Code City Zip - Mailing Address County REASON S FOR REQUESTED AMENDMENT TO LICENSE CHECK ALL THAT APPLY Change in name of program only Proposed name Effective date Change in ages of children served to serve age groups not previously serv.

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