**UGA Requires Student-Athlete Disclosure of all Name, Image, Likeness Agreements to UGAAA**
Include name and email address of each individual you authorize to receive. By providing contact information, you are authorizing the release of this data to the individuals listed.
*What is the total combined value of payment and/or product the business is paying you for your endorsement. (cash + Venmo + check + product value). (ex. 1,000). If selling own product/service, enter the selling price.
* If yes, please upload your written contractual agreement
*How often are you required to make an endorsement?
(Ex. during a contest or while on call for competition, during practice, or during travel for competition)
please select all that apply
* If creating your own business or selling your own products, please describe here. (What are you selling? For how much? How are you selling? [social media, website, etc.], etc.
Read and Confirm the Following Statements Required by Georgia State Law and /or UGAAA Policies