Membership

If you are registering and wish to receive parent matches and/or agreeing to be a parent match, it is necessary for you to complete all of your child’s information as well as yours. Every child’s situation is not the same so we want to give you the most accurate for your child’s congenital heart defect(s). Thank you so much!  Michelle L. Rintamaki

Membership

Account Information

Address
Address

Child Information

Please check appropriate complications

Services Requested

Services Requested
I give the Kids Heart National Association for Children's Heart Disorder, Inc. permission to release my name for the sole use of parent matching, research on heart defects, etc. Your personal information will not be released to any solicitors or advertisers!