Anyone Can Refer A Child

 

Whether you’re a family member, friend, nurse, doctor, or social worker—thank you for your interest in nominating a deserving child for a wish. Kids Wish Network is committed to infusing hope, creating happy memories, and improving the quality of life for children experiencing life-altering situations. 

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Does Your Child Qualify?

First, let’s see if the child you’re nominating meets the requirements to receive a wish.  

Qualifications For A Lifetime Wish

  • Diagnosed with a life-threatening condition, meaning a progressive, degenerative, or malignant condition that is placing the child’s life in jeopardy 

  • A U.S. citizen between the ages of 3 and 18 

  • Has not received a wish from another wish-granting organization 

  • Able to communicate verbally or nonverbally with switches, communication boards, or sign language (consideration will be given for children who do not comprehend contact us for further details)

Qualification To Become A Hero of The Month

  • Is facing life-altering circumstances with extreme bravery and courage

  • Between the ages of 3 and 18

 

Child Nomination Form

When filling out this form, you will notice there are required sections indicated by an *asterisk*. Please give as much detailed information as possible. It is important to provide the child’s full name and accurate 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.

If there is required information that you are unable to provide, please feel free to call us toll-free at 888-918-9004 with your referral.

Your Name
(Type 'same' if not different from the name field)
Child's Name
Address
Family Phone
Your Phone
(Tell us about the child and their illness)
 

Help Us Grant More Wishes

Help us infuse hope, create happy memories, and improve the quality of life for children experiencing life-altering situations.