Childcare Attendance Zone Variance and Childcare Benefit Program for Employees Request Form for 2022-23 School Year
Please click on the hyperlink and read Frederick County School Board Policy and Regulation regarding childcare variances:  Policy 409P (https://bit.ly/38loP6j) and Regulation 409R-B (https://bit.ly/3uUqrvw)

A separate form should be completed for each individual child when requesting a childcare variance.
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Email *
Date of Request *
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Parent's Name: *
Current Home Street Address (P.O. Box mailing addresses MUST include physical street address listed here) *
City *
State *
Zip Code *
Current Phone # (cell and/or home) *
LAST name of CHILD (Please complete a separate form if requesting a childcare variance for additional children): *
FIRST name of CHILD (Please complete a separate form if requesting a childcare variance for additional children): *
2022-23 GRADE LEVEL of CHILD (Please complete a separate form if requesting a childcare variance for additional children): *
School being requested due to childcare needs (K-8): OR School being requested for Childcare Benefit Program (K-12): *
Type of Variance Requested: *
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