Written by a parent, not a doctor. Nothing here is medical advice.

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.
  1. 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.
  2. Fill in their applicationIt is on their website.

    Open their application ↗ Checked Aug 27, 2026

    What the form asks for

    Student Information
    Student 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 Service
    Guardian Information
    Guardian TypeGuardian NameAddress Different from PatientAddressCell PhoneEmailAdd another Parent or Guardian
    Consent, Emergency Contact, and Siblings
    ConsentEmergency 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 Form
    Physician Consent · your care team fills this in
    Primary DiagnosisDate of DiagnosisSecondary DiagnosisRelapseBone Marrow TransplantAny known allergies or other medical conditionsAll current treatments that could affect participation in Heroes Circle activitiesMedical ConsentPhysician Signature
  3. 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.

Full record, as published