Make-A-Wish grants life-changing wishes to children with critical illnesses. But before a wish is fulfilled, the organization follows specific eligibility criteria to ensure that support is given to those who truly need it. These guidelines help maintain fairness, consistency, and a focus on impact.
Medical eligibility as the core requirement
The primary criterion is medical. A child must be diagnosed with a critical illness—typically one that is life-threatening or progressive in nature. Medical professionals, often in consultation with Make-A-Wish staff, assess whether the condition meets the necessary threshold. The goal is to reach children at a time when hope, joy, and strength are especially meaningful.
Age and residency
Make-A-Wish generally accepts referrals for children between the ages of 2½ and 18. The child must not have turned 18 at the time of referral. In addition, the child must reside in a country or region served by a Make-A-Wish affiliate. This ensures that the local team can manage the wish safely and with the appropriate resources.
The child’s role in the wish process
A key aspect of the Make-A-Wish approach is that the wish comes from the child—not from the family or caregivers. The organization values the child’s voice and imagination. The child must be cognitively and emotionally able to participate in choosing their wish and be well enough to take part in the experience. Parental or guardian consent is also required at all stages.
One wish, one experience
Each eligible child receives one wish. If a child has already received a wish from Make-A-Wish or a similar organization, they typically are not eligible for a second wish. This helps ensure that as many children as possible can benefit from the program.
Types of wishes that are not granted
Make-A-Wish does not fulfill wishes that involve medical treatment, legal issues, or anything considered unsafe, offensive, or financially driven. The mission is to provide a positive, joyful experience that honors the child’s individuality and dreams.
A structured process built around the child
The Make-A-Wish criteria for eligibility are designed to protect the integrity of the organization while providing meaningful support to critically ill children. By setting clear boundaries, Make-A-Wish ensures that each wish can be thoughtfully planned and fully realized in a way that brings lasting joy and hope.
