This inquiry form is the first step to receiving a wish – it is not confirmation of eligibility for a wish. Your information will be forwarded and you will be contacted by a member of our wish-granting team.
Medical professionals, parents, legal guardians and potential wish kids can initiate the referral process.
Find out how to refer a child if you don't fit this criteria, or if the child lives outside of the United States and its territories.
A child with a life-threatening medical condition who has reached the age of 2½ and is younger than 18 at the time of referral is potentially eligible for a wish.
Read more on eligibility criteria for a potential wish child.
November 18, 2016
San Luis Obispo County
May 05, 2017
Santa Barbara County
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