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Children's wishes and dreams

We’re thrilled to announce that, moving forward, all wishes will be fulfilled at Wellness House — a warm, welcoming space where families can celebrate, connect, and make memories.

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At Children’s Wishes & Dreams, we believe that even in the hardest moments, joy has the power to heal. Our mission is simple but profound: to grant wishes to children facing life-threatening or life-altering conditions— and to share those moments of wonder with their families.

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We know that a child’s smile can brighten a day, a week, or even a lifetime. But we also know that the ripple of hope touches the entire family. That’s why every wish we fulfill is designed to include not just the child, but the people who love them most. From magical experiences and special celebrations to meaningful keepsakes, we strive to create moments that become treasured memories.

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To make these wishes even more meaningful, we’ve partnered with Wellness House. This collaboration provides a safe, welcoming, and supportive environment for families to experience their wishes together. Wellness House’s compassionate staff and private spaces allow us to bring dreams to life in a way that is both joyful and deeply nurturing.

 

At the heart of our work is love — love for children, love for families, and love for the little moments that make life extraordinary. Every wish we grant, in partnership with Wellness House, is a promise: that even in the face of illness, a child’s dreams matter, laughter is sacred, and hope is always within reach.

To make a wish fill out and submit the following forms below.  

Make A Wish Application Form

Date
Month
Day
Year
Date Of Birth
Month
Day
Year
Childs Gender
Multi-line address
Multi-line address
Multi-line address

Siblings Living in the Home:

Brother Or Sister
Date Of Birth
Month
Day
Year
Brother Or Sister
Date
Month
Day
Year
Brother Or Sister
Date
Month
Day
Year
Brother Or Sister
Date
Month
Day
Year
Brother Or Sister
Date
Month
Day
Year
Brother Or Sister
Date
Month
Day
Year

Medical Information:

Multi-line address
Multi-line address

Has this child applied for, requested, or received a wish from any other wish organization?

Select One
YES
NO
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AUTHORIZATION FOR RELEASE OF MEDICAL INFORMATION AND REPORT OF PHYSICIAN

To be filled out by parents/guardians only


RELEASE OF MEDICAL INFORMATION:

Please fill out the following form.

I/We,

parents and/or legal guardians of

(child) who was born on

Date
Month
Day
Year

request and authorize (Physician #1):

Multi-line address

and (Physician#2)

Multi-line address

to disclose to Children’s Wishes and Dreams, Inc. whenever requested to do so by its’ employees, agents, or representatives, any and all information they may have concerning

with respect to any illness or injury, medical history,  consultation, hospitalization, treatment, psychological or psychiatric treatment, counseling, evaluation, consultation, therapy, laboratory reports, and copies of all hospital records and other medical records including, but not limited to, all information pertaining to

Date
Month
Day
Year
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Multi-line address

Do not send medical records

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