PCCW Global Charity Run 2018 - Make-A-Wish Singapore

REFER A CHILD

Kindly fill up this form to indicate your interest to refer a child and we will contact you as soon as we review your submission.

Who is eligible for a wish?

Singaporeans, Permanent Residents, Dependent Pass Holders
Aged 3 – 18 years old
Diagnosed with a critical illness

*Critical illness include, but are not restricted to, childhood cancers, certain types of muscular dystrophy, certain neurological or genetic diseases, cardia disorder, renal failure and traumatic injuries. Click here to view the list of medical conditions that are within our Eligibility Criteria for a wish.

If a child has been diagnosed with multiple conditions or has a condition that is not listed, the may still be eligible for a wish. If you’re supporting a child who is in need of a wish as soon as possible or you have any questions in regard to whether a condition qualifies for a wish, please contact our Wish team at +65 6334 9474 or by email to [email protected]

Make-A-Wish Singapore is committed to respecting the privacy of the children referred to us for the granting of a wish. Before referring any child to us, please seek the consent of the child being referred, or a parent/guardian of the child (if the child is below 13 years old).

We accept referrals from third parties solely for evaluating prospective wish children for the grant of a wish and where this would be in the interests of such children. We will only proceed with the grant of a wish where consent has been sought from the child (or his/her parent or guardian).

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ADOPT A WISH

By submitting this form you confirm the above details are correct and agree to Make-A-Wish Singapore’s Personal Data Protection Policy.

Please let us know if you’d like to receive communication materials from us:

I agree that Make-A-Wish Singapore may contact me via direct mailers, newsletters, telephone and electronic communications (including emails and e-newsletters) for updates and/or fundraising purposes.

This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.

REFER A CHILD

Make-A-Wish Singapore is committed to respecting the privacy of the children referred to us for the granting of a wish. Before referring any child to us, please seek the consent of the child being referred, or a parent/guardian of the child (if the child is below 13 years old).

We accept referrals from third parties solely for evaluating prospective wish children for the grant of a wish and where this would be in the interests of such children. We will only proceed with the grant of a wish where consent has been sought from the child (or his/her parent or guardian).

This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.

Thank You! Your generous donation will go a long way to inspire hope and deliver strength to our wish children.

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CONTACT US

Kindly fill up this form to indicate your interest to refer a child and we will contact you as soon as we review your submission.

Referrer's Name*:

Referrer's Mobile No*:

Child's Name*:

Is the child's parent aware that you are submitting this form*:

Parent's Name*:

Parent's Mobile No*:

Child's Information

Child's Full Name* :

Date of Birth* :

Medical Condition :

SingaporeanPRDependant's Pass

Referrer's Information

Referrer's Full Name* :

Referrer's Mobile No* :

Referrer's Email* :

Relation to Child :