Team Keegan
  1220 State St.
Apt. D
Fremont MI 49412
Phone: 231.206.6435
Fax: 866.941.9947

Request A Box/Teen Duffel or Diaper Bag....


Contact Information

To Receive a handmade Team Keegan Prize Box for your child ( 100% free) simply fill out the form below. We send diaper bags to infant to 12 months old, boxes to kids from 12 months to 14 yrs old and kids 15 thru 18 will receive a Duffel Bag filled with toys and such unless the parent specifies that he or she would like a Team Keegan Prize Box. It is REQUIRED to have your doctor or hospital social worker mail a letter, on hospital letter head, to us stating that your child is in *Active Treatment* for Cancer. Please have them email it to , Fax it to us at 866.941.9947 or mail to:
Team Keegan
1220 State St
Apt. D
Fremont MI 49412
Once we receive the letter from the hospital and the form filled out below we can process your request. *Please note that if we do not receive the letter from the social worker within 30 days we will have to have you resubmit your request again once you have the letter. For questions please call Jennifer at  Thank You!


First Name:
Last Name:
Address Street 1:
Address Street 2:
Zip Code: (5 digits)
Type of Cancer:  
Childs Facebook or Caring page:
Childs Name:
Please tell us about your
childs favorites & age
so we can best choose
 the items to place in the
 Team Keegan Prize Box
and Please include how you heard about us.  Thank you :)

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