Register Your Koko the Koala

(Form may be completed by parent/guardian)

Welcome…we hope you will register your Koko the Koala to be updated about some exciting new things we have coming just for siblings of children with cancer.

Koko the Koala Registration

Name of Sibling who received Courage Kit(Required)

First Last

Age of Sibling(Required)

Sibling Address(Required)

Street Address Address Line 2 City ZIP Code

Parent/Guardian Information

Name(Required)

First Last

Your Email Address(Required)

Email Address Confirm Email Address

Your Phone(Required)

When did you receive your Courage Kit?(Required)

Tell us about your brother or sister with cancer (when diagnosed/ type of cancer/ age of sibling with cancer, etc).

Want the chance to win an Amazon Gift Card and be featured in our SIBLING spotlights on social media?

(Each Month we will randomly select from those who participate)

Include photo(s) of you with Koko (and the book Courage From Koko’s Pouch). *We would love for you to wear your Sibling T-shirt and Courage Medal too! If your brother or sister feels like it, we would be thrilled to have them in the photo with you as well. Share your story with us. How does it feel to receive one of our Sibling Courage Kits? What would you like others to know about Cooper Trooper Foundation and what this meant to you.

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