“LITTLE HANDS, LITTLE FEET, LOTS OF LOVE” The Heartbeat Connection Helping fulfill the Mission of theBaby Brianna Foundation Register The Heartbeat Connection Registration Name * First Name Last Name Address * Address 1 Address 2 City State/Province Zip/Postal Code Country Contact # (###) ### #### Email Address * Child's Name * First Name Last Name Diaper Size Clothes Size Shoe Size Boy/Girl * Boy Girl What kind of Information would help you as parent? How did you hear about us? Thank you for registering for Heartbeat Connection. We will contact you with upcoming events and further classes