CofrestruRegister CofrestruRegistration Cofrestru / Registration "*" indicates required fields Enw Lleoliad / Setting name*AberdârGarth OlwgLlanhariLlwyncelynAwel Taf**Wedi i ni dderbyn y ffurflen gofrestru, mi fyddwn yn cysylltu gyda chytundeb a chadarnhad o ddull talu – ni chaiff plentyn fynychu cyn bod hyn yn cael ei gyflawni** **After receiving the registration form, we will contact you with a contract and confirmation of payment method – no child will be allowed to attend until this has been completed****Wedi i ni dderbyn y ffurflen gofrestru, mi fyddwn yn cysylltu gyda chytundeb a chadarnhad o ddull talu – ni chaiff plentyn fynychu cyn bod hyn yn cael ei gyflawni** **After receiving the registration form, we will contact you with a contract and confirmation of payment method – no child will be allowed to attend until this has been completed** Clwb Carco / After school club Cynllun Chwarae / Playscheme Enw’r Plentyn / Child’s Name:* First Last Dyddiad Geni / Date of Birth:* DD slash MM slash YYYY Rhyw / Gender:* Cefndir Ethnig / Ethnic Origin:* Iaith y Cartref / Home language:* Manylion Cyswllt / Contact DetailsEnw / Name:* Perthynas i’r plentyn / Relationship to child:* Cyfeiriad adref / Home address:* Street Address Address Line 2 City ZIP / Postal Code Rhif ffôn adref / Home telephone no:* Rhif ffôn symudol / Mobile telephone no.:* Cyfeiriad e-bost / E-mail address:* Man gwaith / Workplace:* Rhif ffôn gwaith / Work telephone no.*Nodwch unrhyw anghenion arbennig a sut rydym yn gallu helpu’ch plentyn / Please note any Special needs and how we can help your child:*Gwybodaeth Meddygol / Medical Information - Meddyg teulu / Family Doctor:* Cyfeiriad / Address:* Street Address Address Line 2 City ZIP / Postal Code Rhif ffôn / Telephone number:*Gofynion Meddygol / Deietegol - yn cynnwys unrhyw alergeddau / anoddefiad ac unrhyw driniaeth Medical / Dietary requirements – including any allergies / intolerances and any treatment:*Cyswllt mewn Argyfwng / Emergency contactCyswllt 1 / Contact 1:* First Last Perthynas i’r plentyn / Relationship to child:* Cyfeiriad adref / Home address:*Rhif ffôn adref / Home telephone no.:*Rhif ffôn symudol / Mobile telephone no.:*Rhif ffôn gwaith / Work telephone no.:*Cyswllt 2 / Contact 2:* First Last Perthynas i’r plentyn / Relationship to child:* Cyfeiriad adref / Home address:*Rhif ffôn adref / Home telephone no.:*Rhif ffôn symudol / Mobile telephone no.:*Rhif ffôn gwaith / Work telephone no.:*Mewn argyfwng, os nad oes modd cysylltu â’r uchod, ydych chi’n rhoi caniatâd i’ch plentyn dderbyn y canlynol: In an emergency, if unable to contact the above, do you give permission for your child to receive the following: Triniaeth meddygol argyfwng Emergency medical treatment:* Ydw / Yes Nac Ydw / No Triniaeth ddeintyddol argyfwng Emergency dental treatment:* Ydw / Yes Nac Ydw / No Oedolion sydd â chaniatâd i gasglu eich plentyn / Adults with permission to collect your childEnw oedolyn 1 / Adult 1 name:* First Last Perthynas i’r plentyn / Relationship to child:* Cyfrinair / Password:* Enw oedolyn 2 / Adult 2 name:* First Last Perthynas i’r plentyn / Relationship to child:* Cyfrinair / Password:* Enw oedolyn 3 / Adult 3 name: First Last Perthynas i’r plentyn / Relationship to child: Cyfrinair / Password: Enw oedolyn 4 / Adult 4 name: First Last Perthynas i’r plentyn / Relationship to child: Cyfrinair / Password: Caniatâd / PermissionNodwch os ydych yn hapus i’ch plentyn ymwneud â / derbyn y canlynol: Please note if you are happy for your child to partake in / receive the following: Lluniau ar gyfer ein gwefan a chyfryngau cymdeithasol / Photographs for our website and social media* Ydw / Yes Nac Ydw / No Peintio gwyneb / Face painting* Ydw / Yes Nac Ydw / No Eli haul / Sun Lotion* Ydw / Yes Nac Ydw / No Teithiau lleol – hysbysebir rhain cyn mynd Local trips – these will be advertised before going* Ydw / Yes Nac Ydw / No EmailThis field is for validation purposes and should be left unchanged.
