WANT TO SUBMIT A WISH? FILL OUT THE FORM WITH A BRIEF DESCRIPTION BELOW*

Examples:

Are you a single mother who needs a break but don't have familial or community support to make it happen?

Is there a local activity or hobby you have dreamed of engaging in but cannot afford it or don't know where to start?

Do you wish you had a life coach who can mentor you and create a plan to achieve your goals?

Are you alone in this life and have no one to talk to or spend holidays with?

*Due to the expected volume and/or logistical limitations, responses and/or participation are not guaranteed. You agree not to hold Ties that Bind or any of its personnel, contributors or affiliates liable for any direct or associated loss or damages. If selected, you will be contacted for follow up, expected to sign a liability waiver and submit to a background check.