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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.

Make-A-Wish® Connecticut
126 Monroe Turnpike
Trumbull, CT 06611
(203) 261-9044
Toll Free (877) 203-9474