KIDazzle Child Care

📋 Standalone Annual Meal Benefit Renewal

Welcome to the official KIDazzle Child Care quick meal eligibility renewal. Complete this 1-page CACFP Income Eligibility Statement in under 2 minutes. If you have multiple children attending KIDazzle, add them below and the system will automatically file individual certified forms for all enrolled siblings simultaneously.

1 Campus / Center Location

Select your enrolled KIDazzle campus. Pre-selected to Midtown Atlanta.

KIDazzle Facility Location

2 Primary Child Information

Enter the information for the primary child receiving care at KIDazzle.

Child First Name

Child Last Name

Date of Birth

Current Classroom / Age Group

3 Siblings & Additional Household Members

List any other children or household members living with you. If any sibling also attends KIDazzle in this building, check the box and we will automatically file their certified IES form simultaneously.

4 Parent / Guardian Contacts

Contact information for the primary adult household member and optional second guardian.

Primary Guardian First Name

Primary Guardian Last Name

Primary Mobile Phone

Email Address

Street Address

City

ZIP Code

5 Categorical Assistance (SNAP / TANF)

Does anyone in your household receive SNAP (Food Stamps), TANF, or CAPS benefits?

❌ No, We Do Not Receive Benefits

✅ Yes, We Receive SNAP or TANF

Georgia Gateway SNAP or TANF Case Number

✨ 100% Free Meals Qualified: Under USDA CACFP regulations, providing your valid Georgia Gateway Case Number waives income reporting and Social Security requirements.

6 Household Size & Income Determination

Income before taxes from all household members combined (skip if SNAP/TANF is provided).

Total Household Size Includes all adults and children living in your home

Total Monthly Household Income ($) Gross monthly income before taxes

OFFICIAL CACFP MEAL STATUS (2026–2027 DECAL) CALCULATING...

Household	Free (Mo)	Free (Yr)	Reduced (Mo)	Reduced (Yr)
1	$1,729	$20,748	$2,461	$29,526
2	$2,345	$28,132	$3,337	$40,034
3	$2,960	$35,516	$4,212	$50,542
4	$3,575	$42,900	$5,088	$61,050
5	$4,191	$50,284	$5,964	$71,558
6	$4,806	$57,668	$6,839	$82,066
7	$5,421	$65,052	$7,715	$92,574
8	$6,037	$72,436	$8,591	$103,082
+ Each Add'l	+$616	+$7,384	+$876	+$10,508

Last 4 Digits of Social Security Number (SSN)

I do not have a Social Security Number (SSN)

7 Certification & Submission

📝 Important Official Wet Signature Notice:
Per Georgia DECAL Bright from the Start compliance guidelines, the signature line on your official 1-page IES document will be left blank for your physical wet pen signature upon printout or at center check-in.

Printed Legal Name of Adult Household Member I certify that all of the above information is true and correct and that all income is reported.

🎉

CACFP IES Document(s) Generated Successfully!

Your 2026–2027 CACFP Income Eligibility Statement has been created and your meal status is certified on the Master Roster.

Facility:

Primary Child:

Meal Status:

Compliance Format: Clean 1-Page Official DECAL IES (Signature line blank for wet pen signing)

CACFP IES Document(s) Generated Successfully!

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