Refer A Child

Anyone can refer a child for consideration to A Special Wish and we will contact the family. Brothers, sisters, neighbors, nurses, doctors, coaches, family and friends can help be a part of something special! If you have any questions about the form below, please contact the Special Wish office.

Once ASW knows a child is medically eligible, our staff works with the wish child’s family to begin planning their wish:

  • Receiving A Special Gift

  • Visiting A Special Place

  • Meeting A Special Hero

Using the child’s imagination to guide the process, we work to develop an unforgettable wish experience for the child and their family. Providing an escape, even for a brief time, filled with moments of laughter, happiness and hope.

Here are the qualifications to become A Special Wish family:

  • Must be a resident in Cuyahoga, Lake or Geauga County

  • Child must have a life threatening disease/condition

  • Child must be between the ages of birth up to the age of 20

  • Child has never had a ‘wish’ with any other wish granting organization


To get started, please fill out this referral form:


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