Wish Request Form

To apply for a Wish experience, please fill out the form below. Submission of the following form does not guarantee approval of the request. Individuals will be notified by email if the request is approved.

Wish Recipient's Information

Wish Recipient’s First Name

Wish Recipient’s Last Name

Wish Recipient’s Parent/Guardian’s First Name (if applicable)

Wish Recipient’s Parent/Guardian’s Last Name (if applicable)

Wish Recipient’s Parent/Guardian’s Email Address

Visit Location

Number In Party

Visit Date

Please allow 3 days to process your request.

Wish Organization's Information

Wish Organization Name

Wish Organization Street Address

Street Address Line 2

Apartment, suite, unit, building, floor, etc.

City/Town

State/Region

ZIP/Postal Code

Country

Wish Organization Website URL

Wish Organization 501(c)3 Tax ID Number

Find your wish organization’s Tax ID

Wish Coordinator’s First Name

Wish Coordinator’s Last Name

Wish Coordinator's Email Address

Wish Coordinator's Phone Number

Please attach one of the following documents (required)*:

Donation letter request.
IAPPA World Passport: Passport must show Wish child’s name (issued to), passport #, date issued, and family members.

File Upload

Unlimited number of files can be uploaded to this field.
100 MB limit.
Allowed types: jpg png pdf doc docx.

Prior to your submission, please ensure your request has been facilitated through an officially registered wish organization. If you are not presently engaged with a wish organization, kindly reach out to your healthcare provider for a referral.