Trip Consent Form


Ysgol Gynradd Eglwys yng Nghymru Gwenfô

 Gwenfô Church in Wales Primary School


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.


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