Refer a Child
Help Make a Dream Come True
for a Child in your
community!
ANYONE may refer a child to us.(Their Mother, Father, Doctor, Teacher, Relative, Friend, etc.)
The Child MUST reside in the Fairfield, Litchfield or New Haven Counties of Connecticut.
All referrals MUST
be in writing or via the online form below.
Once the form is completed, intake and authorization forms will be mailed to the Parent(s) / Guardian(s).This form explains our mission, requests additional information,as well as include a request for the names of TWO of the child’s attending physicians,for verification and qualification purposes.
Before completing the form,please review our Policies and Guidelines
below.
PLEASE NOTE:A child MUST be deemed eligible BEFORE being granted a Dream.Eligibility will depend on verification by their physicians,as well as final approval by our Board of Directors.
We serve children of ALL income levels. All Dreams must fall within our financial limits.We do NOT fulfill Dreams for Cash, Vehicles, Firearms, Mortgages or Rent, Construction or Remodeling, or Swimming Pools.
Policies & Guidelines
A child is ELIGIBLE for a DREAM if he or she:
- Is between the ages of 4 and 19
- Has resided in our service area for at least six months
- Has a medical condition that is severe, chronic or terminal,
as determined by a two physicians
- Is able to communicate their wishes and derive enjoyment from the
experience
- Has NOT received a dream or wish from another wish-granting
organization
A child is INELIGIBLE for a Dream if he or she:
- Has severe brain damage, irrespective of the primary diagnosis,
which makes the child incapable of enjoying a dream, as determined
by a physician or a trained professional
- Has short term, completely treatable conditions
- Has ONLY a primary diagnosis of Down Syndrome, Diabetes, Autism,
or Asthma, without a secondary serious, chronic or terminal illness.