Refer a Child Form – Sunshine Foundation

Refer a Child

Thank you for your interest in referring a child. A child may be referred by anyone, with the permission of the child’s parent(s) or legal guardian(s). However, if you are not the child’s parent(s) or legal guardian(s) sure to provide an email address for the child’s parent/guardian. In the next step, the Sunshine Foundation application MUST BE SENT TO THE CHILD’S PARENT/LEGAL GUARDIAN to be filled out.

Has the child or any other family member received a dream or wish through Sunshine Foundation or any other wish-granting organization or other organization?*
- Yes
- No
NOTE: Sunshine Foundation grants the dream of only ONE child per household. In order to ensure donor funds are being utilized appropriately, Sunshine Foundation may reach out to various organizations to ensure a dream/wish or other gift has not already been provided.
Child's Information
Child's Name*
First Last
Child's Age (ages 3-18 only)*
Referral will be declined if child is not between the ages of 3-18
Child's Date of Birth*
MM slash DD slash YYYY
Diagnosis*
Please list child's diagnosis
Parent / Guardian Information
Please enter the contact information for the individual that will be completing the Application.
Parent / Guardian Name*
First Last
Parent/Guardian Email*
Parent/Guardian Address*
Street Address Address Line 2 City State ZIP Code
County Family Lives In
Phone*
Information of Person Making the Request
Your Name*
First Last
Your Phone*
Your Email
Relationship to Child*
Tell us why you are Requesting a Dream for this child.

Refer a Child

Child's Information

Parent / Guardian Information

Information of Person Making the Request

Sunshine Foundation National Headquarters

Sunshine Foundation Dream Village