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1 IN THE JUVENILE COURT OF DAWSON COUNTY STATE OF GEORGIA In the interest of CASE # SEX: DOB: A Child Under 18 Years of Age NOTICE OF OBJECTION AND REQUEST FOR HEARING I, do hereby object to the CHINS Panel’s Individualized Intervention Plan for as issued on I am hereby requesting a hearing before the Juvenile Court Judge. This day of Parent/Guardian/Custodian Signature