Referral Inquiry Form

Refer a Child
Referral Inquiry Form

You may use our online inquiry form, or contact your local chapter, to get more information about referring a child who lives in the United States or one of its territories.

This form is the first step of the wish process.  It is not confirmation of eligibility for a wish. Your information will be forwarded to your local Make-A-Wish® chapter and you will be contacted by a member of our wish-granting team. You can also share our online inquiry form with someone who can refer a child who lives in the United States or one of its territories.