1-on-1 Consulting

I (print name) ______________________ understand I am voluntarily participating in mental skills training and consulting sessions with Marqwan Davidson. Marqwan is a graduate student at the University of Illinois Chicago (UIC) who received his undergraduate degree in Kinesiology from Eastern Illinois University and is working toward a master’s degree in Performance, Sport, and Exercise Psychology from UIC. Marqwan is supervised (), who received her doctoral degree from Michigan State University and is a Certified Mental Performance Consultant® with the Association for Applied Sport Psychology. I understand that all written and verbal information I share during our individual sessions will be held confidentially. My information will not be released outside of the parameters mentioned in this consent form without my consent, except when required by law.