Refer A Child for a
rainbow Connection Wish

Share the Magic Of A Wish

Do you know a child who could benefit from the magic of a wish? The Rainbow Connection is dedicated to making dreams come true for Michigan children battling life-threatening illnesses. If you know a child who meets the criteria below, they may qualify for a wish:

Eligibility Criteria

The child must be 18 years of age or under.
The child must have a life-threatening (not chronic) illness.
The Rainbow Connection will confirm the diagnosis with the child’s physician.
The child must reside in Michigan.
The child must not have received a wish from any other organization.

How To Refer A Child

If the child meets these qualifications, they may be entitled to a wish through The Rainbow Connection. Here’s how you can refer them:

01

Fill out the Online Referral Form using the link below.

02

Contact Kristen at kristen@rainbowconnection.org, or call us at (248) 601-9474 and ask to speak with someone in the Wish Department.

Referring A Wish is Simple

Your referral could help create unforgettable memories for a deserving child and their family.

Start the process today!

Refer A CHild

Child's Full Name(Required)

Child's Birthdate(Required)

Child's Gender(Required)

Parent(s) or Guardian(s)(Required)

Phone Number (with area code)(Required)

Address(Required)

Street Address City State / Province / Region ZIP / Postal Code

Has the child ever received a wish from any other organization or are you currently working with any other organizations? *(Required)

Child's Physician (If known)

Physician phone number (with area code)

Physician fax number (with area code)

Child's Illness(Required)

Hospital Child Is Being Treated At (if applicable)

Family's Social Worker (if applicable)

Your Information

Relationship(Required)

Your Name(Required)

Your Phone Number (with area code)(Required)

Your Email(Required)

Please let us know if there is anything else you would like to tell us.

Refer A Child for a rainbow Connection Wish