Kids For Wish KidsInquiry Form Thank you for your interest in participating in the Kids For Wish Kids® program. Please fill out the information below and we will contact you as soon as possible. You must have JavaScript enabled to use this form. Indicates required field Name Title Title Select titleMissMsMrMrsDrOther… Enter other… First Middle Last Email Address Phone Number Zip Code SelectStudentParentClub/Team AdvisorTeacherPrincipal/AdministratorSchool NurseOther Role If your role is not listed above, please describe here Role: Other School/Organization Tell Us More Please share any additional details about your group or event you’d like us to know. I am 13 years of age or older and give my permission for Make-A-Wish to contact me. (If you are under 13 years of age, please ask your parent or guardian to submit the form on your behalf.)