Make a Wish

Contractors Helping Kids grants wishes based on a variety of factors, including urgency, need, availability of funds, and has not received a wish from another wish-granting organization

Are you requesting this Wish for you/your family, or someone else?(Required)

I am the wish recipient

I am submitting on behalf of someone else

Relation to Wish Recipient:

Your Contact Information:

Name

First Last

Phone

Wish Recipient's Contact Information:

Name(Required)

First Last

Address(Required)

Street Address Address Line 2 City State ZIP Code

Phone(Required)

Email(Required)

Enter Email Confirm Email

Languages the Wish Recipient Speaks Fluently:(Required)

English

Spanish

Other

Wish Information:

Specifics of Wish:(Required)

Estimated Cost of Wish:(Required)

Recipient's Family Information:

Spouse's Name (if applicable)

Children's Names and Ages (if applicable)

Hobbies, Celebrity Interests, Etc.

Hardships -Describe any additional hardships you have faced (financially, personally – which may explain why this wish will be helpful).

Media Consent

Yes