Register a Monkey

If you don't already have your kit, please use the link below to request a monkey.

Get a Monkey

Please fill in the form below to register your child's monkey pack. By registering your kit, you will receive access to Monkey Messenger to stay connected with your classroom in a fun and interactive way, receive new items periodically and be included in fun contests and news.

Fields with * are required.

Parent's Information


If you are not the legal guardian, please contact us prior to filling out the form.



Child's Information

(i.e. CaringBridge, Care Pages, Facebook)


Additional Information
Please check here if you would like to receive a custom birth certificate for your monkey!

Please setup a hero page to allow others donate in our child’s honor for the Monkey in My Chair program and for cancer research. Learn more.

I have read and agree with the HIPAA terms located at http://www.monkeyinmychair.org/hipaa and attest that I am the legal guardian of the applicant for the program.