Legacy After School PS 181Q Site 2025-2026 APPLICATION

Legacy After School 2025-2026 After School Application - PS 181Q

Office of Membership Management & Programs
General Information:

Legacy is the proud contract provider of after-school programs for PS 181Q, The Brookfield School. Our programs are designed to provide continuous after-school child care for scholars who attend PS 181Q in K-5th.

Our programs take place inside the PS 181Q building. The program runs Monday- Friday from school dismissal until 5:45 pm.

Monday- Friday: Scholars receive a light snack, homework assistance, and then participate in arts & crafts, free play, and organized sports activities.

Program Hours:

Program Begins: September 25th 2025

Monday- Friday

Dismisal: 5:15 pm- 5:45 pm

Last Day of Programs: June 18th, 2026

Early Dismissal Slots: ( BY REQUEST)

3:30-3:40 PM
4:30-4:40 PM

Registration Information
1. READ and complete this registration form below.
2. Sign the membership agreement.
3. PROCESSING WILL TAKE TWO BUSINESS DAYS
4. Once processing is complete, you will receive a notification to download Procare, and you will be informed of your child's start date on the app. If you do not download the ProCare app when prompted, you will NOT receive information regarding the start of care.
Membership Plan Options for 2025–2026:
- $215 per month for 5 days per week.
- Sibling Discount is $20 off the monthly invoice
- By registering, you will be charged for the first month of care to get started. After that, you will be billed monthly.
Expedited Processing: Parents can request expedited start by selecting the option below. This means your child can start the following day or the same day if the application is received before 10 am. Note: This is an additional fee for the membership specialist to expedite your application and connect with the school to finalize the transfer of responsibility.

Additional Application Information:
- If registering siblings, you will have to submit each application separately. Sibling discount will be applied to your account as a credit.
- Spots in this program are available until the application is closed (First-come/first-served). Your payment is non-refundable according to the Membership Policy. Care can only begin after notification by the Legacy Office of Membership Management & Programs.
- Early Dismissal follows a specific request plan. Parents are required to request early pick up of their child during the early slots mentioned above.
Child Full Name *

First NameLast Name
Child's Grade in September*
CLASS:
TEACHER NAME:
CHILD- DOB*

MonthDayYear
DOB
ALLERGY
Date Your Child Will Need to Begin After School Care

MonthDayYear
Date
REGISTERING PARENT NAME *

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState

Zip Code
Cell Number*
Please enter a valid phone number.
Work Number*
Please enter a valid phone number.
Email*
example@example.com
PARENT/ GUARDIAN PARENT NAME

First NameLast Name
Cell Number
Please enter a valid phone number.
Email
example@example.com
AUTHORIZED PICK UP PERSON #1 *

First NameLast Name
Cell Number*
Please enter a valid phone number.
AUTHORIZED PICK UP PERSON #2 *

First NameLast Name
Cell Number*
Please enter a valid phone number.

Legacy PS 181Q Brookfield School Site Membership Subscription *

2025-2026 APPLICATION FEE This application fee is required.

$55.00

PS 181Q MONTHLY MEMBERSHIP Plan of M-F Child Care

$215.00

ADMINISTRATIVE FEEThis Administrative fee is required for card processing.

$10.00

EXPEDITED AFTER SCHOOL ENROLLMENTONLY SELECT THIS OPTION IF YOU ARE REQUESTING AN IMMEDIATE START OF AFTER-SCHOOL CARE.

$60.00

Total

$0.00

Payment Methods

Credit Card

Apple Pay

Google Pay

Cash App Pay

Should be Empty:

Legacy After School 2025-2026 After School Application - PS 181Q

Payment Methods