Refer a Child

Referring a child for a wish is one of the most important parts of helping the Foundation accomplish its mission. The road to a joyful wish experience starts when a caring person refers a child to the Foundation. To learn more about referring a child who lives in the United States or one of its territories, you may use our online inquiry form or contact your local chapter. share the power of a wish^®. 

If you would like to learn more about referring a child residing outside the United States, please contact Make-A-Wish Foundation^® International.

First Name:
Last Name:
Relationship to Child:	Select Relationship Self Parent/Legal Guardian Medical Professional
Email Address:
Phone Number:
Street Address 1:
Street Address 2:
City:
State:
Zip Code:
Comments or Questions:

---

Security Question

We know it's silly, but we need your help to combat spambots and other systems that want to compromise this site. Please follow the directions below:

Please click on three kitten images below, then continue.