Actuel Page 1 Page 2 Aperçu The information collected on this form will be used for licensing under the Early Learning and Child Care Act and Regulations. The information is collected under the authority of the Early Learning and Child Care Board and managed in accordance with the Freedom of Information and Protection of Privacy Act. If you have any question about the collection, use or disclosure of your personal information, please contact the Early Learning and Child Care Board, 902-368-6513. Identification Nom de l’entreprise/organisation Prénom de la personne-ressource Nom de la personne-ressource Adresse 1 Adresse 2 Ville, municipalité, communauté Province Code postal Exemple : C1B 0X1 ou 12345 Pays Téléphone 1 Exemple : 902-555-5555 Téléphone 2 Exemple : 902-555-5555 Télécopieur Exemple : 902-555-5555 Adresse courriel What is your early learning centre licence number? What part of your licence are you choosing to modify? - Sélectionner -The category of the centreServices provided at the licensed centre