Student-Athlete’s Official Promotional Release Statement Form

Intercollegiate Athletics : 2013-2014 Institutional, Charitable, Education or Nonprofit Promotions.

A member institution or recognized entity thereof (e.g., fraternity, sorority or student government organization), a member conference or a noninstitutional charitable, educational or nonprofit agency may use a student-athlete’s name, picture or appearance to support its charitable or educational activities or to support activities considered incidental to the student-athlete’s participation in intercollegiate athletics, provided the following conditions are met: (Revised: 1/11/89, 1/10/91, 1/10/92)

(a) The student-athlete receives written approval to participate from the director of athletics (or his or her designee who may not be a coaching staff member), subject to the limitations on participants in such activities as set forth in Bylaw 17; (Revised: 1/11/89, 4/26/01)

(b) The specific activity or project in which the student-athlete participates does not involve co-sponsorship, advertisement or promotion by a commercial agency other than through the reproduction of the sponsoring company’s officially registered regular trademark or logo on printed materials such as pictures, posters or calendars. The company’s emblem, name, address and telephone number may be included with the trademark or logo. Personal names, messages and slogans (other than an officially registered trademark) are prohibited; (Revised: 1/11/89, 1/10/91)

(c) The name or picture of a student-athlete with remaining eligibility may not appear on an institution’s printed promotional item (e.g., poster, calendar) that includes a reproduction of a product with which a commercial entity is associated if the commercial entity’s officially registered regular trademark or logo also appears on the item; (Adopted: 11/12/97)

(d) The student-athlete does not miss class; (Revised: 1/11/89)

(e) All moneys derived from the activity or project go directly to the member institution, member conference or the charitable, educational or nonprofit agency; (Revised: 1/11/89, 1/10/92)

(f) The student-athlete may accept actual and necessary expenses from the member institution, member conference or the charitable, educational or nonprofit agency related to participation in such activity; (Revised: 1/11/89, 1/10/92, 4/28/05)

(g) The student-athlete’s name, picture or appearance is not used to promote the commercial ventures of any nonprofit agency; (Adopted: 1/10/92)

(h) Any commercial items with names, likenesses or pictures of multiple student-athletes (other than highlight films or media guides per Bylaw may be sold only at the member institution at which the student-athlete is enrolled, institutionally controlled (owned and operated) outlets or outlets controlled by the charitable or educational organization (e.g., location of the charitable or educational organization, site of charitable event during the event). Items that include an individual student-athlete’s name, picture or likeness (e.g., name on jersey, name or likeness on a bobble-head doll), other than informational items (e.g., media guide, schedule cards, institutional publications), may not be sold; and (Adopted: 1/16/93, Revised: 1/9/96, 4/27/06 effective 8/1/06)

(i) The student-athlete and an authorized representative of the charitable, educational or nonprofit agency sign a release statement ensuring that the student-athlete’s name, image or appearance is used in a manner consistent with the requirements of this section. (Revised: 1/11/89, 1/10/92)
Additionally, I hereby grant permission for all sports contests, practices, new conferences, and related sports events in which I participate or for which I am present as a student-athlete at the University of Georgia (collectively referred to as “Events”) to be broadcast, rebroadcast or otherwise transmitted and distributed, in whole or in part, on television, by the internet, and by any other means (collectively referred to as “Broadcasts”). I acknowledge and agree that the copyright to each Broadcast will initially vest in the broadcaster of each such Event, and that each broadcaster and its assignees and licensees will have and enjoy the non-exclusive, transferable, perpetual right to use (and to license and sub-license, without limitation) any such Broadcasts. I also acknowledge and agree that the University of Georgia, the Southeastern Conference, the NCAA, and each broadcaster may use my picture and name to promote and publicize the University of Georgia, the Conference, the NCAA and their various sports contests, practices, news conferences, and related sports events (including in programs, media guides, television spots, and other media) and for other news and informational purposes.
“As the student-athlete involved in a promotional activity, I have reviewed the regulations noted above and I agree to abide by the stipulations and their intent.”
By entering my 810 Number in the box, I indicate my understanding of the information shown and provided on this form, and it is my intent to be signing the record. By submitting this form, I authorize that my participation in any promotional activity will be deemed my authorization of participation in that activity. I understand that University of Georgia may share this information with the NCAA and that a photocopy of this authorization shall be as valid as an original.

State Law Requirement

State law requires that you be informed of the following: (1) your consent is limited to this one transaction; (2) you are entitled to a paper copy of the documents you have signed; and (3) you are entitled to withdraw your consent to future electronic signatures.

Your 810 Number is the first 9 digits on the back of your UGA ID card.


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