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.
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 email@example.com. Scholarship funds are available through 6/11/21.
Members of your household only, please. List additional children in the box below.
First and last names, birthdates
Proof of income not required. If you require additional assistance to meet your child care needs, please contact us at 552-6726 or email firstname.lastname@example.org. No child will be turned away due to inability to pay.
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.
This field is not part of the form submission.
* indicates a required field