Confidentiality Agreement printable pdf download

Confidentiality Agreement

CONFIDENTIALITY AGREEMENT

Information regarding children, parents, staff or volunteers shall be

respected and handled confidentially. All information concerning children,

parents, staff or volunteers shall be confidential and shall not be disclosed to or

discussed with anyone other than those authorized to receive such information,

unless disclosure is authorized by law.

Failure to abide by this agreement could result in termination. This applies

to children, parents, staff or volunteers.

I confirm that I have read, understood and will, comply with the above

directive on Confidentiality.

___________________________

_________________________

Please print name

Please sign

___________________________

_________________________

Please print witness’ name

Signature of witness

___________________________

Date

Please sign and submit to the Director.

C:\Users\Mike\Documents\Dynamis\Clients\Kids Choice\Documents\Confidentiality Agreement Parents.doc7/10/2010

Confidentiality Agreement