If you or a loved one would like to make a wish

please fill out and sign the necessary forms



Download application, HIPAA release form,and liability waiver

and follow instructions to send via email or snail mail 

Please know that any breast cancer patient currently undergoing treatment

may make a wish regardless of their income level.

Our foundation is granting wishes in Montgomery County, Ohio and the 7

surrounding Counties of Butler, Clark, Darke, Greene, Miami, Preble and Warren.

Our current wish budget averages below $1,000 so please keep that in mind

when you think about your wish