NIL Disclosure

UGA Requires Student-Athlete Disclosure of all Name, Image, Likeness Agreements to UGAAA

I am a...*

UGA Student-Athlete (or a Student-Athlete's Certified Agent)
Business/Outside Individual Contracting with Student-Athlete

Student-Athlete Name*

First Last

Student-Athlete Sport*

Student-Athlete Year at UGA*

Student-Athlete Email Address*

Additional people you would like to be notified of this agreement (parent, agent, other family member, etc.)

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.

Name of Business or Outside Individual Contracting with Student-Athlete*

Point of contact at the business (write same name as above if Outside Individual and not a business)*

First Last

Email for point of contact at the business or outside individual*

Phone number for point of contact at the business or outside individual*

Type of Endorsement*

Confirm that:*

the compensation is paid by the lesson recipient (or their family member)
the lesson will not utilize institutional facilities
If a group lesson, instruction to each individual is comparable to the instruction that would be provided during a private lesson

Please describe the arrangement if selected "Other Self Employment" or "Other Outside Employment" from the list above*

Please provide the location of the endorsement. If hosted online, provide the platform (Twitter, Instagram, TikTok, YouTube, Twitch, etc.), handle or account name, and a link if available.*

Please provide a link to your online store*

Did you use an online NIL marketplace?*

Yes
No

If Yes, please list the name of the online NIL marketplace*

Method of Payment Received by Student-Athlete*

If other, please describe below*

Total agreed upon value*

*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.

Is there a written agreement*

Yes
Other

Written contractual agreement?*

Max. file size: 2 MB.

* If yes, please upload your written contractual agreement

If no written contract, please describe agreement below*

Frequency*

*How often are you required to make an endorsement?

If the frequency is a set number of times, please list the number of occurrences and/or length of time for the endorsement

Does this agreement require the student-athlete to endorse a product or service while engaging in official activities of the athletics program*

(Ex. during a contest or while on call for competition, during practice, or during travel for competition)

If yes, please explain the details of those requirements*

How was this agreement arranged?*

Agent
Company contacted student-athlete directly (social media, email, phone, etc.)
Company contacted student-athlete in-person
Company contacted a member of the student-athlete's family
Other

please select all that apply

If other, please describe below*

Name of Agent*

Email address of agent*

Additional Comments Pertaining to this Disclosure

* 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

I have read and attest to the following:*

To the best of my knowledge, the University of Georgia, UGAAA, nor any entity whose purpose includes supporting or benefiting UGA or its athletic program arranged/facilitated the agreement disclosed herein nor provided payment or any other form of compensation for this agreement.

Student-athlete did not/will not miss class or a required academic appointment to fulfill this endorsement agreement.

Student-athlete did not/will not receive compensation to attend (initial and continued enrollment), participate, or perform at (or for) the University of Georgia.

I have provided complete and accurate information regarding this activity involving the use of my Name, Image and Likeness or, if submitting on behalf of a student-athlete, the referenced student-athlete's Name, Image, and Likeness.

I acknowledge and understand that the NIL-related information contained in this disclosure is provided for notification purposes only to assist UGAAA in promoting compliance with applicable rules and policies. It is the responsibility of the student-athlete to comply with applicable rules and policies, and receipt of the information by UGAAA does not indicate approval. UGAAA cannot provide legal, financial, or other professional advice (including contractual advice and analysis) to student-athletes, and this disclosure does not establish an agent-client, attorney-client, or any other fiduciary relationship. While UGAAA Compliance is available to provide information and answer questions about rules and policies, UGAAA encourages student-athletes to seek independent professional counsel before entering into any NIL arrangement

NIL Disclosure

UGA Requires Student-Athlete Disclosure of all Name, Image, Likeness Agreements to UGAAA

Read and Confirm the Following Statements Required by Georgia State Law and /or UGAAA Policies

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NIL Disclosure

NIL Disclosure

**UGA Requires Student-Athlete Disclosure of all Name, Image, Likeness Agreements to UGAAA**

Read and Confirm the Following Statements Required by Georgia State Law and /or UGAAA Policies

Contact Us:

Follow Us on Twitter!

UGA Requires Student-Athlete Disclosure of all Name, Image, Likeness Agreements to UGAAA