Want to register your child?

Simply fill out the form below and a member of our team will get back to you as soon as possible to discuss your child’s future at the nursery. We can not guarantee your child’s place at the nursery, due to our high demand, but will do our very best to accommodate your child or children.

Please note a £50 (non-refundable) registration fee will be required to secure your child’s place.
Don’t worry! No card details or payments will be taken until we speak to you.

Records: Policies and procedures, which are required for the efficient and safe management of Burton Day Nursery, and to promote the welfare, care and learning of the children, are always fully maintained. Should you enrol your child at Burton Day Nursery Ltd you will be given a Parent Pack which contains all our policies and procedures in more detail.

Parents / Guardians Names:

Who has parental responsibility?

Mother

Father

Other

If other please specify.

Name of Child/ren?

Address

Home Telephone Number

Fathers Mobile Number

Mothers Mobile Number

Fathers Email

Mothers Email

ABOUT YOUR CHILD/REN

Child/rens date of birth

Age at admission

Sex

Parents \ Guardian Work Contact Details

Please include address' and phone numbers.

Other emergency contacts

Please include names, numbers and relation to the child.

Any special requirements or additional info?

DAYS OF ATTENDANCE

Start date required?

Days & Times of Attendance

Please let us know the days you wish your child to attend as well as the preferred session for each day.

MEDICAL INFO

Doctors Name

Doctors Contact Details

Does your child have any known allergies or illness?

Languages spoken at home

VACCINATIONS

1st - Diphtheria, Tetanus, Whooping Cough, Polio, Hib, Meningitis C

2nd - Diphtheria, Tetanus, Whooping Cough, Polio, Hib, Meningitis C

3rd - Diphtheria, Tetanus, Whooping Cough, Polio, Hib, Meningitis C

1st - Measles, Mumps, Rubella - MMR

4th - Diphtheria, Tetanus, Polio

2nd - Measles, Mumps, Rubella - MMR

I / WE AGREE TO:

1. Pay all fees due in advance. 2. Contact the nursery as soon as possible to inform you that my child is unable to attend through illness or otherwise. 3. Provide all necessary items (nappies, toothbrush etc) on request. If I/we do not provide them we agree that the nursery can charge an additional fee. 4. Ensure that all my child’s personal items/clothing is named. 5. Pay 15% of the months fees as a retainer should we move the start date of our child once we have received confirmation of a place. Give one month’s written notice should we decide to reduce the sessions. Failure to do so will result in full fees being payable for that month. 6. Give one month’s written notice should we decide to remove our child from the nursery. Failure to do so will result in full fees being payable for that month. 7. It may at times be necessary to share and seek information with the local children’s centre and local authority on matters to do with your child’s welfare and development.