Information for Parents of UGA Athletes
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**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
Men's Swimming and Diving
Women's Swimming and Diving
Track & Field / Cross Country
Student-Athlete Year at UGA
Signed/Committed Prospect (not yet enrolled at UGA)
Freshman (including redshirt)
Sophomore (including redshirt)
Junior (including redshirt)
Senior (including redshirt)
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)
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
Appearance (without autographs)
Commercial / Radio Spot
Operating your own camp
Conducting private lessons
Creating your own product / merchandise
Other self employment
Other outside employment
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?
If Yes, please list the name of the online NIL marketplace
Method of Payment Received by Student-Athlete
Venmo (or other electronic transfer)
Product (i.e. food, items, service, etc. in exchange for your endorsement)
Combination of payment and product
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
Written contractual agreement?
Max. file size: 2 MB.
* If yes, please upload your written contractual agreement
If no written contract, please describe agreement below
A set number of times (ex. 10 posts over the next 6 months)
A pre-determined frequency (ex. Every Friday during the season)
*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
Yes (requires compliance pre-approval due to being impermissible in most cases)
(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?
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
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 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 NCAA, SEC, UGA, and UGAAA rules and policies. It is the responsibility of the student-athlete to comply with applicable laws, 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
I have reviewed and understand the laws from the state in which I currently reside and the policies of my high school athletic association. I understand 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.
1 Selig Circle
Athens, Georgia 30602
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