"Wish upon a Star Project's" goal is to assist grade 8 and grade 12 graduating students with the outfit that will make their graduation a day to remember. "Wish upon a Star Project's"program is about students' self-image and self–esteem.

Please fill out all the fields to ensure your referral gets processed. Or you can Click Here too download the referral form, and fax it too: 705-292-5911 attn: Wishuponastar. If you are unable to view the document please visit Adobe.com and download the free Adobe Acrobat Reader.

All Information Is Confidential
City:
Date:
Name:
Title/Position:
School Name:
Phone:
Fax:
Email:
Mailing Address:
Student Name:
Grade:
Dress/Suit Size:
Shoe Size:
Graduation Date:
Reason for referral?


Will this student be willing to be a spoke person on behalf of Wish Upon a Star Project? (Optional)