Recording consent | Hakomi Norway

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Video recording consent form

Please fill in this form and submit before becoming a practice client with a practitioner student in Hakomi Norway

First Name

Last Name

Email

I'm a practice client with...

I've been informed on the purpose and the use of practice session recordings. View information about recording of practice sessions

Select one option:

I agree that sessions with me as a practice client can be recorded.

I do not agree to sessions with me as a practice client being recorded.

I further agree that the video recordings with me can be (several options):

...shared as a link to Hakomi trainers for feedback and certification

... shared as a link to co-students for feedback

...showed to a Hakomi trainer in real time for feedback (watching together)

...showed to a co-student in real time for feedback (watching together)

... used by the practitioner student for self-review

All the above

After the practitioner student has been certified:

I agree that the recordings can be used for further feedback by trainers and co-students

I agree that the recordings can be saved on a computer/cloud, but only be used for self-review

I would like the recordings will be deleted

Do you want/need to elaborate on your answers?

Date

Your Signature

Thanks for submitting!

And thank you for becoming a practice client

with a student from Hakomi Norway

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