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Join The N.E.S.T. Today!

Complete the Membership Agreement Below!

Welcome

Thank you for your interest in joining The NEST. We are so happy you are here!

Please only complete this form one time per participant. This form completes the membership registration process and is required prior to participating in any events hosted by The NEST for All. There is no fee associated with membership. Completing this form does NOT register you for any events hosted by The NEST for All. Event registration can be found on the EVENTS page of our website, www.TheNESTforAll.com.

We’re committed to creating spaces where all participants can thrive with the appropriate supports in place. Members are encouraged to bring any tools or supports they use in daily life, however, The NEST for All LLC is not responsible for their loss, damage, or replacement. Our events are safe and lightly supervised to encourage independence and natural social interaction. We want everyone to have a safe, fun, and respectful experience where they can grow and connect, and truly feel welcomed, valued, and a sense of belonging in The NEST. If you have questions, please call 248.956.0756 or email Hello@TheNestForAll.com.

General Information

Participant's Full Name *

Participant's Birthdate *must be 18 or older

Participant's Phone *

Participant's Email Address *

Participant's Street Address *

Participant's Apartment, suite, etc

Participant's City

Participant's State/Province

Participant's ZIP / Postal Code

About Member

Primary Disability / Nature of Participant's Needs (if applicable) *

What special interests, hobbies, activities, or games do you enjoy? *

Most frequent communication style (check all that apply): *Verbal / Speaks ClearlyVerbal / Speech is Difficult to UnderstandHas Difficulty Expressing NeedsGestures / PointsUses Sign LanguageUses Hearing DevicesUses Communication Device / AAC DeviceUses Communication Board / Schedule / PicturesHas Difficulty with Understanding / ListeningOther

How would you rate your level of loneliness/isolation currently? *

Type of support typically required for successful participation in recreation and social programs: *

Additional Comments (REQUIRED: Please include any mental health or behavioral information that may impact the participant's successful participation in group activities.)

One-on-One Support

While we strive to be welcoming and inclusive, we do not provide personal, medical, or behavioral support. Participants who require one-on-one support — for any reason, including medical needs, behavioral support, mobility, or the safety of themselves or others — are required to attend with a caregiver or support person. *By checking this box, I acknowledge and agree to provide one-on-one support for the full duration of my member's participation in all NEST events.

Moderate Support

Moderate support is provided at all events hosted by The NEST for All. To encourage the development of member independence and honor the dignity of risk, members who require only minimal to moderate support are encouraged to participate independently, without caregiver attendance. *By checking this box, I agree to respect and support this approach during participation in The NEST for All events.

Guardianship

Is the member their own guardian? *

Guardianship Contact Information

Guardian Full Name(s) *

Guardian Phone *

Guardian Email Address *

Emergency Contact Information

Emergency Contact Relationship to Member *

Emergency Contact / Caregiver(s) Name *

Emergency Contact / Caregiver(s) Phone *

Emergency Contact / Caregiver(s) Email Address *

Communication

Be sure to sign up to our Remind for last minute updates about upcoming events. You only need to sign up one time. Directions for signing up for Remind messages can be found at www.TheNESTforAll.com/contact/ *

Yes the participant and guardians/caregivers have all signed up for Remind updates from The NEST for All.

Communication Consent: I give my consent to The NEST for All to contact me via phone, email, text message, or other communication platforms regarding programs, events, updates, and other relevant information. I understand that my contact information will be kept confidential and used solely for communication related to The NEST for All activities. *

I agree to the statement above

Expectations

What you can expect of The NEST for ALL: Staff at The NEST for All WILL: Lightly supervise to ensure the safety and welfare of the group; Use teachable moments to educate and empower members; Have conversations and use strategies to support communication, socialization, self-determination and empowerment; Support members in managing use of technology to ensure it’s used responsibly and constructively. Staff at The NEST for All LLC WILL NOT: Provide individual care. We are not responsible for monitoring allergies, insulin, medication, food/drink intake, toileting, or any other activity that requires personalized attention; Providing progress updates, data collection, observations, or written statements or reports; Creating lessons or providing formal or individualized instruction *

I understand what I can expect from The NEST for All LLC

We ask all members to respect others by listening to their voices and honoring their boundaries, and contribute to a positive, inclusive atmosphere. Please: *Be kind and promote a positive environment *Be safe *Be engaged (to the best of your ability). This ensures a safe, respectful, and enjoyable experience for everyone involved. *

I understand what is expected of me as a member of The NEST for All LLC

Member Responsibility

I understand that any tools, supports, materials, personal belongings, or supplies I bring to The NEST for All LLC events are my responsibility to keep track of, and The NEST for All LLC is not responsible for their loss, damage, or replacement. *

I understand and agree to the Member Responsibility statement above

Cancellation Policy

Staffing at The NEST is determined based on the number of registered participants. Should a member be unable to attend an event they have already registered and paid for, then the following cancellation policy applies: Cancellations made more than 24 hours prior to the event start time will receive a full credit equal to the event fee, applicable to a future event. Cancellations made within 24 hours of the event start time will receive a 50% credit toward a future event. *

I understand and agree to the Cancellation Policy above

Image & Likeness Release

I hereby grant The NEST for All LLC, and its agents, photographers, and filmmakers, permission to use my image and likeness for promotional and editorial purposes. This includes, but is not limited to: use in still photography, video, and film, for publication or distribution in newspapers, magazines, websites, social media, television, and video productions. I waive any right to inspect or approve the finished product or editorial layout that may be used in connection therewith. I further waive any right to monetary payment or compensation, now and in the future, for the use of my image and likeness. *Yes, I grant permission as stated aboveNo, I do not grant permission

Arrival, Departure, & Pick-Up Policy

To ensure the safety of all participants and the smooth operation of events hosted by The NEST for All, all attendees are required to check in upon arrival and check out before leaving each event. Participants are expected to be picked up promptly at the scheduled end time. A late fee of $15 will be assessed for every 15-minute period, or portion thereof, beyond the scheduled pickup time. *

I understand and agree to the Arrival, Departure, and Pick-Up Policy as outlined above.

Consent Statements

I understand and agree that engaging in any business activities, commercial transactions, or the exchange of money is strictly prohibited at any events hosted by, or within any spaces owned, leased, or occupied by, The NEST for All LLC, unless prior written authorization has been granted by an authorized representative of The NEST for All LLC. *