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Turning last travel wishes into unforgettable memories

At this time, TravelWish has reached our funding capacity, so we are temporarily unable to accept new travel applications. We know that every family who reaches out to us is carrying a deeply meaningful wish, and we are truly sorry we cannot help right now.

We are working to secure additional funding so we can open applications again as soon as possible. Thank you for understanding and for allowing us the opportunity to support families facing extraordinary circumstances.

First name

Last name

Your email address

Phone

Recipient/Patient First & Last Name and age

example:Jenny Smith, age 35

City, State

Please note that the applicant must be a resident of the United States.

Your relationship to recipient

How did you hear about TravelWish?

Timeline for travel?

Preferred travel timeframe

Please list specific date ranges and/or month(s) of preferred travel

Please list any blackout dates you are NOT available to travel

Preferred Experience(s)

All Inclusive

Ocean Cruise

River Cruise

Other

Please describe your ideal travel experience!

Budget $ amount

Please provide the budget you can personally fund towards the trip.

*Please note that we cannot guarantee donated travel, and/or full or partial funding for every family. We will do our best to help with funding but have limited resources and budget restrictions.

Accessibility needs or mobility restrictions?

Does the recipient or anyone in the travel group need ADA room, wheelchair or other considerations?

Number of Adults

Number of children 17 yrs and younger

Example:

2 children, ages 5 and 8

or N/A

Number of bedrooms and/or separate rooms needed

To Qualify for Donated Travel, please answer the following questions. Medical Condition

If Other, please indicate specific condition.

Type & Stage, if applicable

If applicable, if not, please input N/A

Approximate Prognosis

Please upload a physician's statement supporting medical condition dated within the past 90 days. This must be included to complete your application.

If applicable, please provide link to social media page or fundraising page (such as GoFundMe, Caring Bridge, etc)

I have read and agree to the the TravelWish privacy policy.

The following acknowledgement is required to submit your application:

"If TravelWish is unable to provide funding and/or in-kind donations for my trip, I am still interested in working with a Travel Advisor to discuss potential options."

Why Travel

People with a terminal or life-limiting diagnosis often want to spend quality time with family before their symptoms progress and they become too sick to travel.

When palliative care teams assist patients and families with end-of-life travel, they empower them with a greater sense of control. Many health care professionals recommend travel as a comfort care goal.

REFER A FAMILY