Return to mobile version

Referral Inquiry Form

This inquiry form is the first step to receiving a wish – it is not confirmation of eligibility for a wish. Your information will be forwarded and you will be contacted by a member of our wish-granting team.

Relationship to child

Your information

We value your privacy and will not share your personal information.

Optional

Please confirm your email address. We want to make sure we can respond to your request.

Optional

Message

Type the characters below



Share the Power of a WishA wish can be a powerful thing for a child battling a life-threatening medical condition.  Know a child who may qualify for a wish? Find out what makes a child eligible.

Who is eligible for a wish

You might also be interested in ...

Upcoming Events

Latest Status Update

  • “If I can restore this [truck], I would have a reliable vehicle for college and something I can keep forever,” shared wish kid Jace of Lander. Follow wish stories like Jace’s by connecting with Make-A-Wish Wyoming on Twitter, Instagram and now Snapchat!
Make-A-Wish® Wyoming
PO Box 273
Casper, WY 82602
(307) 234-9474
Toll Free Wyoming Only (888) 996-9474