Release of Confidential Information

I, , with this authorize to record and make available the following session recording to Tandem Coaching Academy ("Tandem") and International Coach Federation ("ICF")

Information to be released: Video and/or audio recording of my coaching session on .

I understand that the audio recording of my coaching session will be reviewed by a Tandem Coaching Academy Approved Mentor-Coach or Graduation Application Review member, who will use it for the sole purpose of assessing the quality and methods of the Student Coach’s coaching ability. The recording may also be reviewed by the International Coach Federation for the purpose of maintaining accreditation. I understand that the information will be kept confidential and will not be shared with any other party. This release form has been read and reviewed with me, and I understand its content.

This release is created and considered signed by the fact of its creation by .

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Signature Certificate
Document name: Release of Confidential Information
lock iconUnique Document ID: b80438835bdcebc7e9c70a39ce9486b5a8a44273
Timestamp Audit
January 6, 2021 7:46 pm CDTRelease of Confidential Information Uploaded by Alex Kudinov - IP
March 16, 2021 1:16 pm CDTTandem Coaching - added by Alex Kudinov - as a CC'd Recipient Ip: