Please complete these forms before your child beginds learning and care at A Child's Heart. Here at A Child's Heart, we try to make the application process as painless as possible. You will complete a total of three forms (Intake form, Medical History Form, and Consent Form) during the application process at A Child's Heart. The intake form allows us to have a general knowledge of your child's background. The medical history form provides us with an in-depth overview of your child(ren)'s medical history, so we can provide your child with the proper care. The consent form allows us to provide care to your child in the case of a medical emergency, and also informs us of the of the times and days your child(ren) will attend A Child's Heart.  For your convenience, we offer two ways you can complete these forms, either electronically or by downloading the PDF and printing them out.  

By completing these forms below, A Child's Heart will be able to provide the best possible care and learning environment for your child. 

Available Electronic Forms


Intake Form

Medical History Form

Consent Form


Colossians 3:14

And over all these virtues put on love, which binds them all together in perfect unity.



"The staff is absolutely amazing, Marian is such a kind woman and so helpful. I don't trust many people with my children but I definitely trust them, they even have an app to update you throughout the day when your child eats, naps, has a diaper change or if they need anything."

- Lindall T.