2026 Wish Granting Application Form

Wish Granting Application Form

Help us make a special Christmas for those in need in Townsville by sharing their story and wish details.
Today's Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Applicant Full Name (The one who will recieve the wish)

First NameLast Name
Date of Birth

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Residential Address of Wish Recipient (must be a townsville resident)

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip CodeCountry
Email
example@example.com
Applicant Contact Details

Area CodePhone Number
Nominator Full Name

First NameLast Name
Relationship to Applicant
Nominator Contact Details

Area CodePhone Number
Email
example@example.com
Applicant Story (Less than 250 words)
Wish Categories
Please give us a suggested Description of Use for up to $1000 Budget
Any further comments you wish to make?
Media and Privacy Consent
Should be Empty: