If you are the parent or legal guardian of a child who has reached the age of 2 1/2 and is under the age of 18 who may be eligible to receive a wish, please fill out the form below. Your information will be forwarded to your local chapter, and you will be contacted shortly with more information about the referral process. Potential wish children or their attending medical professionals may also request more information. To learn more about referring a child who resides outside of the United States and its territories, contact Make-A-Wish Foundation^® International.