Application for a Special Wish
We are the only UK charity to grant wishes to those over 40, with terminal and/or life-threatening illnesses.
- To see if you're within our Catchment Area : Check This Page First
1) Download 2) Fill In On Screen 3) E-mail
or alternatively
1) Download 2) Print 3) Fill In On Page 4) Post
Download, as a PDF file - Click on the picture of the form
'Adobe Acrobat Reader DC' can be used to electronically fill in PDF forms.
If you need the software - Click HERE
*** 'Adobe Acrobat Reader DC' allows you to save a partially completed electronic form. eg., If you need to take the file to a medical professional for completion.
Special Wish Application Form Via Post
If you would like us to send out an application form via post : Wish Application Via Post