Private Legal Impact Intake — Save Afterschool NYC

1. About you

Your contact information stays private within the legal review team.

Full legal name *

Street address

Email *

Telephone

Preferred contact method

Relationship to student *

I confirm I am the parent, guardian, or authorized representative.

2. About the student

Use the child's initials only. Do not enter the child's full name.

Child's initials *

Grade

School *

DBN

Enrollment status

Expected afterschool enrollment

3. Program change

4. School-choice reliance

Date middle-school rankings were submitted

Date offer was received

Date offer was accepted

Did afterschool affect the ranking?

YesNoPartially

What specific features affected the ranking?

Would the family have ranked differently?

YesNoUnsure

What alternatives would have been considered?

Did tours, websites, or admissions materials describe the existing program?

YesNoUnsure

Describe specifically how the afterschool program affected your school-choice decision.

5. Existing afterschool ecosystem

6a. Current concrete harm

6b. Imminent harm

Explain what is likely to happen and why, based on your child's actual history or current program reliance.

7. Disability access (optional)

Do not upload IEPs, medical records, diagnosis reports, SSNs, or other highly sensitive child documents. Counsel may later provide a secure upload link if needed.

8. Agency notice and communications

List communications: date, recipient, method, subject, summary, response received, document available?

9. Evidence inventory

Check what exists. Do not upload documents now — counsel may later request specific items through a secure link.

10. Relief requested

What relief would address the harm?

Pause or stay implementationRelease scoring and administrative recordReconsider the school-specific awardPreserve incumbent operations temporarilyRequire a disability-access planRequire a workforce / community-impact planRequire staff continuity or warm handoffProvide a transfer / waitlist remedyOther

Participation choices

Each consent is independent. Leaving them unchecked is fine — counsel will treat your intake as private legal review only.

I am requesting private legal review only.A lawyer may contact me.I may be willing to sign an affirmation.I may be willing to provide a supporting court statement.I may be willing to be a named petitioner.I permit an anonymous quotation to be used publicly.I am willing to speak with reporters.I permit my information to be shared with elected officials.