Refer A Child

Anyone can refer a child to our wish granting program – a family member or friend, nurse, doctor or social worker. Please provide as much information as possible, particularly the child’s full name and parent/guardian contact information. You may also leave your contact information in case we are unable to reach the family. Thank you for your gift of caring.

PLEASE NOTE: There are several required fields in order to facilitate your referral, as indicated by the *asterisk*. If you are unable to fill these fields in, please feel free to call us with your referral, toll-free, at 888-918-9004.
[contact-form-7 id=”502″ title=”Refer a child”]