Little Hearts

Stories of Hope Submission Form

Would you like to add your heart-child's story to our Stories of Hope page?  If so, complete this form and we'll add it to our website.  We welcome adding a photo to your heart-child's story as well.  To do so, reply back to our email that tells you your heart-child's story is online with your photo and once again we'll add it on our end.    

Our Stories of Hope page receives the majority of visits to our website as they give Hope to those families who have just learned that their baby has a CHD.  Regardless of how old our child is, we can still remember this day.  Thank you for sharing your heart-child and sharing the hope with heart families all over the world.world wide.


(* Denotes Required Fields)

Member Information

Member is the parent or grandparent or guardian of the heart-child.

Adult born with a CHD is also the member.

Last Name *
First Name *
Heart Child's First Name *
Heart Child's Date of Birth *
Heart-child's CHD *
My heart-child's story (we suggest around 500 words)
Update to my heart-child's story which is currently on the Stories of Hope page.

Contact Information

Town *
State *
Email Address *

Stories of Hope Permission Signature

Do you give Little Hearts permission to post your heart-child's story to our website? *
Yes
No
Do you give Little Hearts permission to pass along your email address to a parent who's read your story and wants to connect with you? *
Yes
No
Do you give Little Hearts permission to use the photo submitted for this story in a E-Newsletter to members? *
Yes
No

Credit Card Payment Information

(All credit card information must be filled out completely to make a payment.)
Card Type:
Card Number:
Name on Card:
Verification #:
Expiration Date: (MM/YYYY)

Mask
Become a Member Arrow
  • No cost to join
  • Access to support services
  • Connect with other parents
Share your Stories of Hope Arrow

Have a baby that is newly diagnosed with a CHD? Read our stories of HOPE from other people just like you.

Little Hearts, Inc.

P.O. Box 171, Cromwell, CT 06416
Phone/Fax (860) 635.0006  Toll Free 866.435.Hope
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