Video for Communication Disorders Class
Use Agreement Form


(Use or adapt this form as you see fit.)


I understand that the Fluency Assessment recordings are the property of Judith Kuster. The agreement regarding use of the recording must be signed and handed in prior to the Instructor providing class access to the recordings.

I will not make (or allow to be made) copies of the Fluency Assessment recordings.

I will use the recordings in a private location where they are not viewed by individuals not a member of the current class.

I will discuss the content of the videos in a private location and only with members of the current class.


Signed ______________________________________________________

Date ________________________________________________________