Refer a Child

To refer a child complete the form below to the best of your ability. If you have any questions at all, please contact us at aspecialwishncohio@gmail.com or 440-258-7078

Once A Special Wish knows a child is medically-eligible, our staff works with the Wish Child’s family to begin planning their Special Wish to receive a special gift, visit a special place, or meet a special hero.

Using the Wish 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.

 

Please complete the form below

Your Name *
Your Name
Your Phone Number
Your Phone Number
Child's Name
Child's Name