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City of Missoula
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Parks & Recreation Spring Break/Afterschool Scholarship March 15 to June 11

  1. PARKS LONG PNG

  2. School's Out/Afterschool Program Scholarship

    This form is for those who have NOT previously submitted a Base Camp Scholarship form. ALL families, regardless of income level, are eligible for the Scholarship, funded by the City of Missoula. Please complete this form BEFORE REGISTRATION so that we may attach the correct scholarship level to your Webtrac account. *If you have already completed this form once, there is no need to reapply.

  3. After completing this form, you will receive emailed information about how to register for School's Out/Afterschool programs within 2 business days. Information provided will remain confidential. Questions or concerns? Use the box below, call 721-7275, or email parksrec@ci.missoula.mt.us. Scholarship funds are available through 6/11/21.

  4. Residency*

  5. Do you know your Webtrac online registration login and password?*

  6. Please list participant names and birthdates

    Members of your household only, please. List additional children in the box below.

  7. First and last names, birthdates

  8. Based on the income chart below, my family qualifies for:*

    Proof of income not required. If you require additional assistance to meet your child care needs, please contact us at 552-6726 or email parksrec@ci.missoula.mt.us. No child will be turned away due to inability to pay.

  9. 2021-02-17 income grid table PNG

  10. By electronically signing this form, I certify the above information is accurate, and I agree my child/children will comply with program COVID-19 safety protocols.

  11. Leave This Blank:

  12. This field is not part of the form submission.