Childcare Attendance Zone Variance Request Form for 2020-21 School Year
Please click on the hyperlink and read Frederick County School Board Policy and Regulation regarding childcare variances: Policy 409P (
) and Regulation 409R-B (
A separate form should be completed for each individual child when requesting a childcare variance.
Date of Request
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)
Type of Variance Requested:
Childcare Attendance Zone Variance due to childcare needs
FCPS Employee Childcare Benefit Program
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This form was created inside of FCPS G Suite for EDU.