Handpicked House '26-'27

Welcome to The Nest

A program at Handpicked House by The Handpicked Education, a 501(c)3 nonprofit, established in 2018.
We’re so excited to welcome your family!

This enrollment packet helps us get to know your child, prepare a safe and successful learning environment, and begin a strong partnership with your family.

Most families complete this packet in 20–30 minutes. Please answer each question as thoroughly and honestly as possible. The information you provide is kept confidential and allows us to thoughtfully support your child throughout the school year.

Before You Begin:
Please have the following available:
- Emergency Contact Information
- Health Insurance information
- Physicians Information
- Medication and Allerlgy Information
- Authorized Pick Up Contacts Information
- Charter School Information
Sections:
1. Student Information
2. Parent & Family Information
3. Emergency Contacts
4. Family Partnership & Permissions
5. Health & Medical Information
6. Learning Profile
7. Photo & Restroom Permissions
8. Final Review
Student Enrollment

Fill out the form carefully to complete enrollment.
- Student Name
  
  First NameMiddle NameLast Name
- Birth Date
  
  MonthDayYear
- Gender
- Grade Entering in the Fall
- Cohort Joining in the Fall
- Parent Information
- Mother's First and Last Name
  
  First NameLast Name
- Mobile Number
  Format: (000) 000-0000.
- Email
  example@example.com
- Father's First and Last Name
  
  First NameLast Name
- Mobile Number
  Format: (000) 000-0000.
- Email
  example@example.com
- Address
  
  Street Address
  
  Street Address Line 2
  
  CityState / Province
  
  Postal / Zip Code
- Marital Status
- Does your family have any custody agreements or court orders that affect pickup, communication or participation?
- Who lives in the home?
  Please include their relationship to student and ages.
- Emergency Contacts
- First & Last Name
- Relationship to Student
- Phone Number
- First & Last Name
- Relationship to Student
- Phone Number
- First & Last Name
- Relationship to Student
- Phone Number
- Agreements & Permissions
- I acknowledge that I have received access to the Handpicked House Family Handbook. I understand that it contains important information regarding program policies, daily procedures, health and safety expectations, attendance, communication, tuition, and parent responsibilities. I agree to review the handbook and support these policies throughout the school year.
- Signature
- At Handpicked House, we believe children thrive when parents and educators work together with mutual trust, respect, and open communication. We are committed to partnering with families to create a positive, encouraging environment where every child can grow.
- Signature
- I agree to:
- Signature
- Assumption of Risk, Release of Liability & Indemnification Agreement
- Acknowledgment of Inherent Risks
  I understand that participation in Handpicked House involves activities that carry inherent and unavoidable risks. These activities may include, but are not limited to:
  - Indoor and outdoor play
  - Nature exploration
  - Walking on uneven terrain
  - Gardening
  - Climbing, balancing, running, jumping, and other gross motor activities
  - Use of playground equipment
  - Arts and crafts
  - Sensory activities
  - Cooking and food preparation
  - Interaction with animals and insects
  - Water play (when applicable)
  - Field trips
  - Transportation to and from activities by parents or guardians
  - Any other educational or recreational activity offered by Handpicked House
  I understand that these activities may result in slips, falls, cuts, bruises, insect bites, allergic reactions, exposure to environmental conditions, property damage, serious bodily injury, illness, permanent disability, or death.
  
  I understand that not all hazards can be anticipated or eliminated, even with reasonable supervision and safety procedures.
- Signature
- Assumption of Risk & Release of Liability
- I understand that participation in Handpicked House involves inherent risks associated with children’s educational, recreational, and outdoor activities. These activities may include, but are not limited to, indoor and outdoor play, nature exploration, gardening, climbing, balancing, movement activities, arts and crafts, sensory experiences, field trips, and interaction with natural elements, animals, and other children. While Handpicked House takes reasonable precautions to provide a safe environment, accidents and injuries can occur.
  
  I voluntarily allow my child to participate in these activities and acknowledge that participation is at my own risk. To the fullest extent permitted by California law, I release and hold harmless Handpicked House, its owners, employees, independent contractors, and volunteers from claims arising out of my child’s participation, including claims based on ordinary negligence. This release does not apply to gross negligence, reckless conduct, or intentional misconduct.
  
  In the event of an emergency, I authorize Handpicked House to seek emergency medical treatment for my child if I cannot be reached. I understand that I am responsible for any resulting medical expenses.
  
  I certify that the health information I have provided is accurate and complete, and I agree to notify Handpicked House of any changes to my child’s medical condition, allergies, medications, or emergency contact information.
  
  By signing below, I acknowledge that I have read and understand this Assumption of Risk & Release of Liability and voluntarily agree to its terms.
- Signature
- This section is required only for those this is applicable to. If this section does not apply to your student, you may collapse/skip this section and continue filling out the rest of the form.
- Does your child have any diagnosed medical, developmental, educational, behavioral, or mental health conditions that we should be aware of?
- If yes, please explain
- Has your child ever been evaluated for or diagnosed with any of the following? (check all that apply)
  
  Other
- Does your child currently receive any services or therapies?
- If yes, please select all that apply:
  
  Other
- Does your child currently have any of the following
- If your child has an IEP, 504 Plan, evaluation or therapy reports, would you be willing share copies with us?
- Are there any behaviors that staff should be prepared to safely support? (Examples may include elopement, aggression, self-injury, property destruction, severe anxiety, panic attacks or prolonged emotional dysregulation.) If yes, please explain
- Are there any accommodations your child requires in order to safely and successfully participate in Handpicked House?
- Parent Financial Acknowledgement
- Signature
- Throughout the school year, Handpicked House may photograph or record classroom activities, special events, field trips, and other program experiences. These images and videos help us celebrate our community, document learning, and occasionally share the joy of our programs with prospective families.Please indicate your permission below.
- Signature
- Please type your full name
  
  First NameLast Name
- At Handpicked House, we encourage children to use the restroom independently whenever possible while providing age-appropriate support as needed. Because some of our younger students are newly potty trained or are still developing independent toileting skills, staff may occasionally need to provide limited assistance.
  
  This assistance may include:
  - Providing verbal reminders and guidance
  - Helping with clothing fasteners (buttons, snaps, zippers, etc.)
  - Assisting with wiping when a child requests help or is unable to do so independently
  - Assisting with handwashing and hygieneHelping a child change into clean clothing after a toileting accident (using the child’s spare clothes)
  Handpicked House staff will always respect each child’s privacy and dignity.
  
  Whenever possible, children will be encouraged to complete toileting tasks independently, with staff providing only the level of assistance necessary.
- Please indicate your permission below:
- Is your child fully potty trained?
- Does your child typically require help with any of the following (check all that apply)
- Signature
- What do you hope your child gains from their experience at The Nest this year?
- Is there anything else you would like us to know about your child, your family, or how we can best support your child during their time at Handpicked House? (Please feel free to share anything you believe would help us better understand, encourage, or care for your child.)
- Acknowledgements
- Date
  
  MonthDayYear
  2 digit month, 2 digit day, 4 digit yearDate
- Signature
- Please type your full name
  
  First NameLast Name
Should be Empty:

Welcome to The Nest

Student Enrollment

Parent Information

Emergency Contacts

Agreements & Permissions

Assumption of Risk, Release of Liability & Indemnification Agreement

Assumption of Risk & Release of Liability