Confidentiality in Child Care Statement Template

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Confidentiality in Child Care Statement
As an employee of ______________________________________________________, I
do hereby certify that I will respect the confidentiality rights of every child who attends
this child care facility. I understand that the confidentiality of each child’s information is
strictly maintained to protect the privacy rights of the parents and children. I pledge that I
will not discuss or otherwise communicate any form of information concerning the care
or condition of any child with unauthorized individuals. I understand that failure to abide
by the child confidentiality requirements may result in my immediate termination.
Print Name:_______________________________________________________
Signature: ________________________________________________________
Date: ____________________________________________________________

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