"Confidentiality Agreement Template"

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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
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