YOU MUST ALSO COMPLETE AND SUBMIT THE REQUIRED
MEDICAL AUTHORIZATION FORM & PHOTO OF THE NOMINEE
BEFORE YOUR WISH WILL BE CONSIDERED.

If you meet the Eligibility and Guideline Requirements, 
​you can complete the Wish Application Online ​by Clicking the Link Below.
Or, if you prefer to print a Hard Copy of the Application, Click the appropriate link You can scan and email it or send it through Postal Mail.

Wish Application

                                        330-244-WISH  info@grantedwish.org 
7749 Supreme Ave. NW | North Canton, OH 44220