• "Making Memories" Event Wish Referral

    Forever Moriah Foundation
  • This inquiry form is the first step to receiving a "Making Memories" Event 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.

    Elgibility Requirements

    1. Patients must be diagnosed with a life-threatening illness, be receiving active treatment, and be frequently hospitalized.
    2. The child's primary physician and social worker should complete applications. When more than one diagnosis is involved, each attending physician must complete a medical statement.
    3. Eligibility will be determined by the Foundation after physician's assessment.
    4. Applications will be reviewed and approved by Program Director.

    Steps for our Wish Recipents 

    1. Patients must live in DC, MD, or VA to be eligible for a wish
      Gather all the information you will need for your wish application
    2. Fill out your wish application.
    3. Print and get child's verifcation form filled out by treating physician. Forms should be mailed to the following address (7124 Salem Fields Blvd. #123, Fredericksburg, Virginia 22407)
    4. Receive approval for your event wish (Note: Only one Birthday Celebration Wish and one Milestone Celebration wish will be approved per month)
    5. Sign your Wish Recipient Agreement and Return to us.
    6. Meet your event Coordinator and Event Planner
    7. Plan the perfect event for your little one
    8. Enjoy your unique celebration

     

     

    ***Please note all applicants must be between the ages of 1 and 18 years of age. Due diligence will be made to plan an event within 35 miles of applicants home address as indicated on their application.***

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  • We ask that you submit your application at least 8 weeks prior to your desired event date. Please allow 2 weeks for your application to be reviewed and a determination email to be sent.

    For any questions or concerns please feel free to email us at info@forevermoriah.com

    www.forevermoriahfoundation.org

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