Author: YGG Tirdeunaw

YSGOL GYMUNEDOL TRIMSARAN
TYSTYSGRIF IECHYD / HEALTH CERTIFICATE
RHIANT/NEU BERSON Â CHYFRIFOLDEB RHIANT YN UNIG DDYLAI LENWI’R FFURFLEN
This form should only be completed by a parent/person with parental responsibility

2024/25

Enw llawn (Full name) : ……………………………………………………..… Dyddiad geni (DOB) : ……………….
Gwybodaeth Rhieni / Gwarchodwr - Parent/Guardian information
Cyswllt 1 (Contact 1) : ………………………………………Perthynas / (Relationship) : ……………………….
Rhif ffôn cartref / Symudol / Gwaith /
(Home telephone number) : ……………………… (Mobile) : …………………… (Work) : ……………………
Cyfeiriad / Address : …………………………………………………………………………… Côd post (Post code) : ………………….
PLENTYN YN BYW YN Y CYFEIRIAD HWN (Ticiwch os yn briodol) / CHILD LIVES AT THIS ADDRESS (Tick if appropriate)
Cyswllt 2 (Contact 2) : ………………………………………Perthynas / (Relationship) : ……………………….
Rhif ffôn cartref / Symudol / Gwaith /
(Home telephone number) : ……………………… (Mobile) : …………………… (Work) : ……………………
Cyfeiriad / Address : …………………………………………………………………………… Côd post (Post code) : ………………….
PLENTYN YN BYW YN Y CYFEIRIAD HWN (Ticiwch os yn briodol) / CHILD LIVES AT THIS ADDRESS (Tick if appropriate)
Enw, cyfeiriad a rhif ffôn arall i gysylltu ag ef mewn argyfwng /
Alternative names, addresses and telephone numbers to be contacted in an emergency :
1) Enw (Name) : …………………………………………… Perthynas (Relationship) : …………………………………
Cyfeiriad (Address) : ………………………………………………………………………………………………………………..
Rhif ffôn cartref / Symudol / Gwaith /
(Home telephone number) : ……………………… (Mobile) : …………………… (Work) : ……………………
2) Enw (Name) : …………………………………………… Perthynas (Relationship) : …………………………………
Cyfeiriad (Address) : ………………………………………………………………………………………………………………..
Rhif ffôn cartref / Symudol / Gwaith /
(Home telephone number) : ……………………… (Mobile) : …………………… (Work) : ……………………

Enw meddyg y teulu (Name of family doctor) : …………………………………………………………………………
Cyfeiriad y feddygfa (Address of surgery) : ………………………………………………………………………………
………………………………………………………………………… Rhif ffôn (Tel number) : ……………………………….
Ydy eich mab/merch yn dioddef o unrhyw afiechyd/alergedd sy’n galw am sylw arbennig e.e asthma, meigryn, epilepsi, clefyd siwgr, alergedd i benisilin, bwydydd arbennig, plaster a.a.
Does your son/daughter suffer from any illness/allergy that calls for special attention or diet e.g. asthma, migraine, epilepsy, diabetes, allergy to penicillin, food allergies, plasters etc
YDY / NAC YDY YES / NO
Os YDY, rhowch fanylion manwl a thriniaeth (defnyddiwch dudalen arall os oes angen) /
If YES, please give precise details and treatment (continue on separate sheet if necessary) :
………………………………………………………………………………………………………………………………………………
………………………………………………………………………………………………………………………………………………

Arwyddywd gan rhiant neu berson â chyfrifoldeb rhaint /
Signature of parent or person with parental responsibility :

r______________________________________

Mwy o ganiatad i lofnodi drosodd / More consent to sign on next page

YSGOL GYMUNEDOL TRIMSARAN
RHIANT/NEU BERSON Â CHYFRIFOLDEB RHIANT YN UNIG DDYLAI LENWI’R FFURFLEN
This form should only be completed by a parent/person with parental responsibility

Data Personol / Ffotograffau, Fideos a Defnydd o’r Rhyngrwyd
Er mwyn i ni gyflawni ein dyletswyddau yn yr ysgol mae angen i ni gadw data eich plant a’ch teulu ar systemau’r ysgol. Mae rhan fwyaf o’r wybodaeth yma yn ddata yr ydych wedi ei rhoi i ni wrth gofrestru eich plant neu’r wybodaeth sydd ar y daflen wybodaeth a lenwir ar ddechrau pob blwyddyn academaidd. Rydym felly yn gobeithio y gwnewch chi gytuno i ni barhau i gadw eich data er mwyn sicrhau eich bod yn parhau i dderbyn gwybodaeth bwysig am yr ysgol a’ch plant, newyddion am ddigwyddiadau arbennig a gwybodaeth am drefniadau dydd i ddydd.
Fel y gwyddoch mae yna adegau yn yr ysgol pan bydd ffotograffau a fideos o’r disgyblion yn cael eu tynnu. Mae’r rhain yn disgyn mwy neu lai i bedwar prif gategori:
Ffotograffau/ fideos ar gyfer arddangosfeydd a thystiolaeth o waith i ddefnyddio o fewn yr ysgol.
Ffotograffau i’w harddangos mewn dogfennau ysgol ac yn y wasg.
Fideos o weithgareddau megis chwaraeon a pherfformiadau llwyfan.
Lluniau / fideos digidol i’w cynnwys ar wefan yr ysgol a thudalen Trydar yr ysgol .
Fel rhan o raglen TGCh yr ysgol, cynigwn fynediad goruchwyliedig i’r rhyngrwyd i’r plant gan ddefnyddio HWB, Office 365, E-bost ac adnoddau TGCh priodol. Rhaid i bob plentyn gael caniatâd rhieni cyn defnyddio’r cyfleusterau yma.
Nodwch eich caniatâd trwy dicio’r blychau ar y ffurflen isod a’i dychwelyd at athro/athrawes dosbarth eich plentyn. Os oes gennych unrhyw wrthwynebiad i’r uchod yna a fyddech mor garedig â chysylltu gyda mi i drafod eich pryderon.
Personal Data / Photographs, Videos and Internet use
In order for us to fulfil our duties we need to keep a certain amount of data/ information about your children and about your family on our school systems. Most of this information is what you supply us with when you register your child at the school and on the data sheets that we hand out every September. We hope that you will allow us to continue to hold use your data. As part of that, we want to make sure that we can continue to contact you with important information about the school and your children and special news or helpful information.
As you are aware, there are occasions in school when photographs and videos are taken of the pupils. These fall into four main categories:
Photographs for exhibits and evidence of work used within the school.
Photographs to be published in school documents and the press.
Videos of activities such as sport and stage performances.
Digital photographs / videos to be included on the school’s website, Facebook page and Twitter page.
As part of the school’s ICT programme we offer pupils supervised access to the internet using HWB, Office 365, E-mail and ICT resources. All pupils must receive parental permission before being allowed to use these facilities.
Please note your consent by ticking the boxes on the form below, and return it to your child’s class teacher. If you have any objections to granting consent then please contact me in order that I can discuss your concerns.
S. Jones
Pennaeth / Headteacher

Enw’r plentyn / Name of child : ___________________________ Dosbarth / Class : ____________________
Rhowch dic yn y bocs os ydych yn caniatau yr isod : / Tick the box if you consent to the following:
.

	Ffotograffau ar gyfer arddangosfeydd a thystiolaeth o waith i ddefnyddio o fewn yr ysgol / Photographs for exhibits in school
	Ffotograffau i’w harddangos mewn dogfennau ac yn y wasg / Photographs to be published in documents and press
	Fideos o weithgareddau / Videos of school activities
	Lluniau digidol i’w cynnwys ar wefan yr ysgol a tudalen trydar yr ysgol / Digital photographs to be included in the school / web site and twitter page
	Caniataf i’m plentyn ddefnyddio’r we fyd eang yn yr ysgol / I grant permission for my child to access the internet at school
	Blasu bwydydd / Food tasting activities
	I’ch plentyn ymweld â’r ardal leol / For you child to visit the local area
	I’ch plentyn (Blwyddyn 3-6 yn unig) i adael yr ysgol yn annibynnol ar ddiwedd y dydd / For my child (Y3 – 6 pupils only) to leave the school alone at the end of the school day
	Caniataf i’r staff ail osod eli haul neu roi plasters ar fy mhlentyn yn ôl yr angen. Disgwylir i’r plant wisgo eli haul i’r ysgol mewn tywydd poeth / I grant permission for the staff to re-apply sun cream or put plasters on my son/daughter as needed. In hot weather pupils are expected to wear sun cream to school

Arwyddywd gan rhiant neu berson â chyfrifoldeb rhiant /
Signature of parent or person with parental responsibility :

Enw llawn / Full name :

r ______________________________________

Dyddiad / Date :