Registration for Kids Korner - Dallas Center, Iowa

To register your child(ren) at our Kids Korner location in Dallas Center, please download the following documents and complete the necessary forms for each child you are registering. With the exception of the Parent or Guardian Handbook and Illness Policy, we will need the following returned to us:

Please email completed forms to kidskornerdc98@gmail.com

• Registration Form
• Parent or Guardian Handbook (View Only)
• Child Health Exam Form (completed by your Family Doctor)*
• Immunization Form (completed by your Family Doctor)
• Kids Korner Illness Policy (View Only)
• Infant Information Sheet (for child under 12 months)
• Infant Welcome Packet (for child under 12 months)
• Infant Welcome Packet Receipt Form 
• Direct Withdrawal Form

*The Child Health Exam form (physical) must be dated within the last 12 months and updated on an annual basis.