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.
Email address *
Date of Request *
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) *
Type of Variance Requested: *
Never submit passwords through Google Forms.
This form was created inside of FCPS G Suite for EDU. Report Abuse