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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.

Help us reach every child. Refer a child who may qualify.

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Make-A-Wish® Vermont
431 Pine Street
Suite 214
Burlington, VT 05401
(802) 864-9393
Wish Emergency Cell Phone (802) 399-6394