Get ready to apply
MATIO | Kids Kicking Cancer
MATIO Therapeutic Martial Arts Program
What you get
Free ($0) in-person or virtual martial-arts classes, breathing and mindfulness exercises, a uniform, belt, T-shirt, and Super Power Kit. Open now.
- Who starts it
- You, with their part of the form from your doctor
- How it’s sent
- Online, on their website
- Your time
- An hour or so, plus waiting for the form
- Last checked
- Aug 27, 2026
Before you start, check you fit
- Your child is 3 or older.
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Ask your doctor for their part of the formStart here. This is the part that takes the longest.
MATIO | Kids Kicking Cancer needs a signed medical form from your doctor. Copy this message, or say it in person at the next visit.
Hi [doctor’s name], We’d like to apply to MATIO | Kids Kicking Cancer’s MATIO Therapeutic Martial Arts Program. They offer free ($0) in-person or virtual martial-arts classes, breathing and mindfulness exercises, a uniform, belt, T-shirt, and Super Power Kit, and they are taking applications now. They need a signed medical form from you. Their form and instructions are here: https://kidskickingcancer.org/method/registration/ Could you do that when you have a chance? I can send you the link, or bring a printout to our next visit. Thank you for everything you do for us. [your name] · [phone]
Copying is the only thing this page does with your text. Nothing is saved. -
Fill in their applicationIt is on their website.
Open their application ↗ Checked Aug 27, 2026What the form asks for
Student InformationStudent NameStudent Primary AddressPhoneDate of BirthGenderEthnicityPreferred method of communicationWhere Did You Hear About UsDiagnosisPatient PhysicianPrimary HospitalKnown allergies or other medical conditionsPrimary language spoken in the homeT-shirt sizeWill you be using (MI Only) our Transportation ServiceGuardian InformationGuardian TypeGuardian NameAddress Different from PatientAddressCell PhoneEmailAdd another Parent or GuardianConsent, Emergency Contact, and SiblingsConsentEmergency Contact NameRelationship to child(ren)Emergency Contact PhoneAll child(ren) participating in Kids Kicking Cancer programs belowIf you consent to the above, please enter your name here: (Parent/Guardian)Comments / QuestionsUpload signed Physician Consent FormPhysician Consent · your care team fills this inPrimary DiagnosisDate of DiagnosisSecondary DiagnosisRelapseBone Marrow TransplantAny known allergies or other medical conditionsAll current treatments that could affect participation in Heroes Circle activitiesMedical ConsentPhysician Signature -
Submit it on their websiteSend their part of the form with your application, or the way they ask.
- Submit the online registration and deliver the signed physician consent by upload, physician-office email, or fax as the official page permits.
After you send
They don’t publish how long a decision takes. If you have not heard back in two weeks, write and ask whether it arrived.
