Application

Please click on this link for our application: HERE is the current application form.  You also need this Willow Wish Recipient Waiver to complete your application.

Next application period: TBA.
We are projecting to offer 4-6 gifts in 2019. The more we fundraise, the more we can offer. Would you like to get involved with our fundraising efforts? Please email willowwishaz{at}gmail{dot}com to join our fundraising team.

Eligibility:
Any patient at an accredited birth center in the State of Arizona is eligible to apply for a gift from Willow Wish. The birth centers that are currently accredited through CABC are:
Babymoon Inn (Phoenix), Blossom Birth & Wellness Center (Phoenix), El Rio Women’s Center (Tucson), Flagstaff Women’s Center (Flagstaff), and Willow Midwife Center for Birth & Wellness (Mesa).

Applying is as easy as 1 – 2 – 3:

  1. Fill out the application form – download HERE
  2. Tell us why you want us to make your WISH come true. You can write it, video record it, or send in a voice recording.
  3. Complete the Willow Wish Recipient Waiver…and then bundle it all together and send it our way!

We look forward to hearing from you soon. We want to make your birth center wish a reality!

Questions? Email us at willowwishaz{at}gmail{dot}com or fill out the contact form:

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