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Ella’s List Referral
  • Ella's List Recipient Requirements

  • For official consideration to be an Ella's List Recipient, please ensure your candidate meets or will adhere to all of the criteria below:
    1. Diagnosed with a chronic or critical illness, i.e. a progressive, degenerative or malignant condition that is placing the child's life in jeopardy
    2. Must be between age 3-18 at the time of the Experience
    3. Must be a U.S. or Canada resident
    4. Physician approval/sign-off to go on the Experience
    5. Agree to film/photo release
    6. Has never been an Ella’s List Recipient
  • About the Child

  • Date Format: MM slash DD slash YYYY
  • You may add up to a total of 10 requests.
  • Drop files here or
    Accepted file types: jpg, png, jpeg.
  • Please provide a link to a Youtube or Vimeo hosted VIDEO OF HIM/HER SHARING THEIR LIV LIST AND EXPRESSING WHAT IT WOULD MEAN IF ONE WISH CAME TRUE.