Taith Teulu Piws | Piws Family Trip

Taith Ddiwrnodol Llysgenhadon Teulu Hygyrchedd – Ffurflen Gais | Access Family Ambassadors Day Trip - Application Form

Dydd Sul, 19eg Hydref | Sunday, 19th October
Cyrchfannau | Destinations:

• Xplore! Canolfan Darganfod Gwyddoniaeth, Wrecsam | Xplore! Science Discovery Centre, Wrexham
• Sŵ Mynydd Cymru, Bae Colwyn | Welsh Mountain Zoo, Colwyn Bay
Manylion y Teulu | Family Details
Enw’r Rhiant/Gofalwr | Name of Parent/Carer*

First NameLast Name
Enw(au)’r Plentyn/Plant/Unigolyn sy’n Mynd | Name(s) of Child/ChildrenIndividual Attending*
Oed(au) y Plentyn/Plant/Unigolyn | Age(s) of Child/Children/Individual:*
A oes gan unrhyw blentyn/unigolyn anghenion mynediad y dylem fod yn ymwybodol ohonynt (e.e. symudedd, synhwyraidd, meddygol)? | Do any children/individual have access needs we should be aware of (e.g. mobility, sensory, medical)?*

Oes/YesNac Oes/No
Os oes, disgrifiwch yn fyr | If yes, please briefly describe:
E-Bost | E-mail*
example@example.com
Rhif Symudol | Phone Number

Area CodePhone Number
Dewisiadau Teithio | Travel Preferences
Man Casglu Dewisol | Preferred Pick-Up Point:*

Caergybi/HolyheadParc Busness Llangefni/Llangefni Business ParkParc Menai/Park Menai (Bangor)Cyffordd Llandudno/Llandudno Junction
A oes angen cludiant addas i gadeiriau olwyn arnoch? | Do you require wheelchair-accessible transport?

Oes/YesNac Oes/No
Cadarnhad Blaendal/Taliad | Deposit/Payment Confirmation

Rwy’n deall bod angen blaendal/taliad o £10 i sicrhau ein lle | I understand that a £10 deposit/paymentis required to secure our place.
Rwy’n cytuno i dalu’r taliad ac yn deall nad yw’n ad-daladwy os caiff ei ganslo o fewn 48 awr neu os na fyddwn yn mynychu | I agree to pay the payment and understand it is non-refundable if cancelled within 48 hours or if we do not attend.*

Cytuno/Agree
Ymrwymiad i Adborth | Feedback Commitment
Rwy’n cytuno i roi adborth ar ôl y daith i helpu gwella hygyrchedd mewn atyniadau i ymwelwyr | I agree to provide feedback after the trip to help improve accessibility at visitor attractions.*

Cytuno/Agree
Caniatâd Lluniau | Photo Consent
Efallai y cymerir lluniau yn ystod y daith i helpu hyrwyddo digwyddiadau yn y dyfodol | Photos may be taken during the trip to help promote future events.*

Rwy’n rhoi caniatâd i luniau o’m teulu gael eu defnyddio/ I give consent for photos of my family to be usedNid wyf yn rhoi caniatâd/I do not give consent
Telerau ac Amodau ar gyfer Mynychu | Terms & Conditions for Attending
Llofnod/Signature*

Clear
Payment for Family Ticket*
prevnext( X )
Family TicketTo keep it fair, we are offering 1 ticket per family, thanks for understanding that families can't join tickets together.
£10.00 Quantity

Total

£0.00
Dyddiad/Date*

MonthDayYear
Should be Empty:

Taith Ddiwrnodol Llysgenhadon Teulu Hygyrchedd – Ffurflen Gais | Access Family Ambassadors Day Trip - Application Form

Manylion y Teulu | Family Details

Dewisiadau Teithio | Travel Preferences

Cadarnhad Blaendal/Taliad | Deposit/Payment Confirmation

Ymrwymiad i Adborth | Feedback Commitment

Caniatâd Lluniau | Photo Consent

Telerau ac Amodau ar gyfer Mynychu | Terms & Conditions for Attending