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Referral Inquiry Form

This inquiry form is the first step to receiving a wish – it is not confirmation of eligibility for a wish. Your information will be forwarded and you will be contacted by a member of our wish-granting team.

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We value your privacy and will not share your personal information.

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Please confirm your email address. We want to make sure we can respond to your request.

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Make-A-Wish® Kansas
1144 N St. Francis
Wichita, KS 67214
(316) 838-9474
Toll Free Kansas Only: (800) 566-9474