Refer a Child

Anyone can refer a child for consideration of A Special Wish & we will contact the family. Brothers, Sisters, Neighbors, Nurses, Doctors, Coaches, Family and Friends, all can help be apart of something Special! If you have any questions about the form below, please contact the A Special Wish office.

Once ASW knows a child is medically eligible, our staff works with the wish child’s family to begin planning their wish:

  • Receiving A Special Gift
  • Visiting A Special Place
  • Meeting A Special Hero

Using the child’s imagination to guide the process, we work to develop an unforgettable wish experience for the child and their family. Providing an escape, even for a brief time, filled with moments of laughter, happiness, and hope.