Parent Intake

Document the impact.

Private by default. You choose how your story is shared.

Want to also send your story to Council, DYCD, and the Public Advocate? Use the letter tool — your story becomes a personalized email sent in your name, with us BCC'd so it still joins the public record.

Send as a letter

Or, just share privately (no email sent to officials):

Parent / Guardian name *

Email *

Phone (optional)

Child's school *

Current afterschool provider

Incoming provider (if known)

IEP / 504 / disability access needs?

How is the transition affecting your family? *

How long has your child (or your family) been with the current program?

Add a photo (optional)

Optional. JPG/PNG/WEBP, under 8 MB. A photo of your child, the program, or the staff who matter to your family. We will not publish without your written consent.

Photo consentIf I uploaded a photo, organizers may contact me to confirm before any public use. Nothing is published without my written OK.

How can we use your story?

Storage: submissions are saved in the campaign's private database (Lovable Cloud / Supabase) with row-level security, plus a local copy in your browser. Access: only approved campaign organizers can read submissions; the database is not public. Default use: PRIVATE — nothing leaves the organizing team unless you check a box below. Each box is independent and unchecked by default. Deletion: email dycdparentaction@gmail.com from the address you submitted with and we will delete your record within 14 days.

Private only (default)Keep my story private to campaign organizers. Do not share it with anyone outside the organizing team.

Anonymous / aggregate use OKOrganizers may quote or summarize my story anonymously (no name, school, or identifying details) in public materials, press, or filings.

Publish with my nameOrganizers may publish my story attributed to my name (and, if I provide it, my school) on this site and in public materials.

Share with attorneysOrganizers may share my story with attorneys evaluating Article 78, ADA / Section 504, or related legal action. Sharing with attorneys is covered by attorney work-product expectations but is not a guarantee of representation.

Share with elected officialsOrganizers may forward my story to Council Members, the Public Advocate, the Comptroller, and other elected officials with my name attached.

Share with pressA reporter may contact me at the email or phone above. I understand that talking to press is on the record unless I negotiate otherwise with the reporter.

Submissions are saved securely to the campaign database. A local copy also stays in your browser.