Student Registration

Below you will find an easy online registration form for Kids Kicking Cancer.

Please note, that we will also need the Physician’s Consent form sign by your child’s Doctor.  Usually the Hospital or Doctor’s office will be happy to fax it into us once the Doctor has completed the form.  If you contact the Kids Kicking Cancer office we are happy to send a blank Physician Consent Form to your doctors office, or alternatively, feel free to download it below and provide it to your doctor.  If you go that route, you will have the option of attaching a scan of it to your online registration.

Please plan to take around 5-10 minutes to complete this form.

Proceed to Online Registration

Printable Registration forms:

Student Registration Form
Physician Consent Form