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2021-22 Parks Afterschool/School's Out Scholarship Application

  1. PARKS LONG PNG
  2. 2021-22 School's Out/Afterschool Program Scholarship

    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 received the 2021 Spring Program Scholarship, there is no need to reapply. Valid for Afterschool and School's Out programs, 2021-22 school year only.

    HOW TO REGISTER

    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 comment box below, call 721-7275, or email parksrec@ci.missoula.mt.us. Scholarship funds are available through 6/10/22.

    LOWELL STUDENTS

    Lowell Community Center provides afterschool and School's Out childcare at no charge. There is no need to complete this form. Please email youthprograms@ci.missoula.mt.us for more information.

  3. Residency*
  4. Do you know your Webtrac online registration login and password?*
  5. Please list participant names and birthdates
    Members of your household only, please. List additional children in the box below.
  6. First and last names, birthdates
  7. 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.
  8. 2021-02-17 income grid table PNG
  9. 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.
  10. Leave This Blank:

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