Refer A Child

Help make a dream come true...

Child Eligibilty

If you have any questions about referring a child to receive a dream, call (859) 254-9474, e-mail, use our online submission form or check out our FAQ page. Children who meet the following criteria are eligible for nomination for a Dream:


  • The child must be between the ages of 3 and 18;
  • The child must have a critical and severe chronic illness as determined by his or her physician and our screening committee;
  • The child cannot have received a dream, wish or gift from any other similar organization; and
  • The dream must be the child’s and not that of his or her parents or another concerned party. The child must be able to communicate the dream to a Dream Factory representative.


Items marked with an ‘*’ are required.  Click here to download a PDF version of the Lexington Dream Factory Application.

    Child's Information:

    Parent Information:

    Previous Recipient?

    Referrer's Information:

    Additional Information: