Request A Wish

Do you know someone who is deserving of a granted wish?

If you would prefer to mail or fax in your request, please click here to access a printable copy. You will need the free adobe acrobat reader software to view this file.

The Granted Wish Foundation accepts one wish per person/family. If your original wish was not granted, you may not submit a new request for a different wish.

The Granted Wish Foundation currently does not accept International Wish Requests. Only requests inside the United States will be considered.

Read the important Wish Request Information Below, complete the form and click the submit button.

Important Wish Request Information and Disclaimer:

Please read our FAQ's And How Wishes Are Granted section before completing and submitting this form.

All fields marked with an * are required

Requester's Information
 
First Name: *
Last Name: *
Address1: *
Address2:
City: *
State: * Zip: *
Phone: - - *
Email: *
Nominee's Information
 
First Name: *
Last Name: *
Address1: *
Address2:
City: *
State: * Zip: *
Phone: - - *
Email: *

 
Wish Information:
Please state the exact wish you are requesting.
*
 
Detailed Information:
Please provide information about the wish request, the nominee and why you feel this person deserves this wish to be granted. Include any family background, medical or financial hardships, etc.
*
 
How did you hear about The Granted Wish Foundation?


If you chose "Other" Describe Here:

 

 
The Granted Wish Foundation is a non-profit organization registered with the State of Ohio and has been granted IRC 501(c)(3) tax-exempt status by the IRS.