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Before filling out the Wish Form below, please make sure you have read our Wish Guidelines before proceeding. Thank you!

Online Application Form

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If you are nominating a person to receive a wish please provide your contact information (otherwise, you may leave the fields below blank):

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If you prefer you can download the Wish Slip and send it to:

Wish Committee
Jeremy Bloom's Wish of a Lifetime
PO 1454
Denver, CO 80201

Sample of Wishes Granted

Nancy
We traveled with Nancy to visit her daughter in Arizona who is battling cancer. While the circumstances are unfortunate, we are incredibly excited to have provided an opportunity Nancy otherwise would not have to spend a few precious days with her daughter.

Aleks and Tamila
We recently granted the wish of Aleks and Tamila - Russian immigrants who lost everything they had in the collapse of the Soviet Union in 1991. When asked, they told us they have always dreamed of fishing together. Our foundation recently granted their wish and took them to Keystone to spend the day fishing on a private lake high in the Rocky Mountains.

View more sample wishes granted

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Online Application Form

Sample of Wishes Granted