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City of Missoula
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Parks and Recreation BASE Camp Scholarship

  1. PARKS LONG PNG

  2. BASE Camp Scholarship - Montana Coronavirus Relief Fund

    Thanks for choosing Parks and Recreation for your child care needs! ALL families, regardless of income level, are eligible for the BASE Camp Scholarship, funded by the Montana Coronavirus Relief Fund. Please complete this form BEFORE REGISTRATION so that we may attach the correct scholarship level to your Webtrac account. This form BASE Camp participants only.

  3. After completing this form, you will receive emailed information about how to register for BASE Camp 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.

  4. Residency*

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

  6. Please list BASE Camp participant names and birthdates

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

  7. Scholarship Income Levels
    scholarship income grid jpg

  8. Based on the income charts above, my family qualifies for:*

    Proof of income not required. If you require additional assistance to meet your child care needs, please contact us at 721-PARK (7275) or email parksrec@ci.missoula.mt.us. No child will be turned away due to inability to pay.

  9. First and last names, birthdate

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

  11. Leave This Blank:

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