Ysgol Gynradd Eglwys yng Nghymru Gwenfô
Gwenfô Church in Wales Primary School
CHILD CONSENT FORMS
Child’s Name: ___________________
Class: ___________________
Trip Information
Date of Trip: ______________________________
Departure Time: ____________ Arrival Time: _______________
Visit to: __________________________________
Cost of Trip: __________
Contact Details
Home Contact Number: _________________
Emergency Contact Number: ________________
Additional Information (If Required):
Consent Signature – Visit and Emergency Medical Treatment.
____________________________
Ysgol Gynradd Eglwys yng Nghymru Gwenfo 