Little Hearts Art Studio Application

Where Kids Come to Explore, Imagine, and Make Art with Heart
🎨 Welcome to Little Hearts Art Studio 🌟
A cozy, creative space for little artists Pre K-5th grade to explore, imagine, and make art with heart! 💖

Classes begin March 24th, 2026!
Time : 4 PM - 5:30 PM
📍 Located in Woodbridge, VA — full address will be shared upon registration!

✨ Important Details:

🎨 Each session is limited up to 10 little artists, so spots fill up fast!
📋 Once full, we’ll place new sign-ups on a waitlist for future sessions.
📝 This form helps us learn more about your child, confirm emergency contacts, and understand any allergies or special needs to ensure a safe and joyful experience! 🌈
🧑‍🎨 Please complete one form per child.
📧 After submitting, you’ll receive a confirmation email with all the details.
⚠️ Disclaimer: Little Hearts Art Studio is a creative arts program, not a daycare. Our sessions focus on artistic expression and fun, not extended childcare.

Let’s make something beautiful together! 🌸

With heart,
Abby & the Little Hearts Team 💕
1. Parent / Guardian Information
Parent/Guardian Name

First NameLast Name
Parent/Guardian Email Address
example@example.com
Parent/Guardian Phone Number
Please enter a valid phone number.
2. Child's Information
Child's Name

First NameLast Name
Child's Age
Child's Date of Birth

MonthDayYear
Date
3. Emergency Contact Information
Emergency Contact Name

First NameLast Name
Relationship to Child
Emergency Contact Phone Number
Please enter a valid phone number.

4. Health and Safety

This section helps us make sure every child has a safe, comfortable, and joyful experience during their time at Little Hearts Art Studio. 💖Please provide honest and detailed information so we can offer the best support for your little artist!
Does your child have any allergies, medical conditions, or special needs we should be aware of?*

YESNO
🥜 Allergies or Dietary Restrictions
(Examples: peanuts, dairy, gluten, etc.)
💊 Medical Conditions
(Examples: asthma, epilepsy, diabetes, etc.)
🧠 Behavioral, Sensory, or Developmental Needs
(Examples: sensory sensitivities, speech delays, neurodivergence, etc.)

5. Session Interest🎨

Select which session(s) you'd love your little artist to attend!
1. 💌 Would you like your child to be added to the waitlist if the selected session(s) are full?*
2. 🖍️ Is this your child's first time attending Little Hearts Art Studio?

YESNO
💬 Anything else you'd like us to know about your child's interests or preferred session?

enrollment

Little Hearts Art Studio Application

1. Parent / Guardian Information

2. Child's Information

3. Emergency Contact Information

4. Health and Safety

5. Session Interest🎨

6. Permissions & Acknowledgements