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

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

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