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Polk City, Iowa

2019 Summer Recreation Forms

Your child will not be registered until all forms are completed and the registration fees have been paid. You may drop your registration off inside City Hall, in the drop box outside, or mail it to:   Polk City Summer Recreation, City of Polk City, P.O. Box 426, Polk City, IA 50226.

Please make checks payable to the City of Polk City.


Forms & Documents:

Lakeside Participation Agreement

Summer Recreation Release and Waiver

Summer Recreation Registration

Event Calendar - Detailed Calendar

Online Waivers:

Climb Iowa Waiver

Sky Zone Waiver

Kids Warrior Gym Waiver


Summer Recreation program forms are also available at Polk City's Library and City Hall, as well as the Tender Years and Beautiful Beginnings day care facilities located here in town.

*Please note that application fees must be received or postmarked on or before 5/17/2019 and that all fees are non-refundable.  Applications received or postmarked after 5/18/2019 will receive an additional late processing fee.  5/31/2019 is the last day that applications will be accepted.

Be sure to check the Event Calendar often to see what's coming up next!

Completed applications and associated fees should be turned in to City Hall anytime between 8:00 AM to 5:00 PM Monday through Friday.  If you have any questions concerning any of these programs please e-mail Terri Keasey at: tkeasey@polkcityia.gov


Contact City Hall

112 3rd Street
PO Box 426
Polk City, IA 50226


Phone: 515-984-6233
Fax: 515-984-6177

Friends of Polk City

  • Polk City Development Corporation
  • Wolf Creek Technology Web Design
  • North Polk School District
  • Polk City Community Foundation
  • Polk City Chamber of Commerce
  • Big Creek Historical Society
  • Polk City Square
  • Polk City Fire Department

Contact Info

City Hall
112 3rd Street
PO Box 426
Polk City, IA 50226

Phone: (515) 984-6233

Fax: (515) 984-6177

Email Us

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