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.
We value your privacy and will not share your personal information.
Please confirm your email address. We want to make sure we can respond to your request.
If you are someone other than the child, a parent/guardian or medical professional, please share this referral form.
Bring hope, strength and joy to Montana wish kids.
Donate your unused Delta and United air miles.