Appearance Request Form

OSU Athletics Appearance Request

For consideration, this form must be complete.
Name*

First NameLast Name
E-mail*
example@example.com
Phone Number*

Area CodePhone Number
Organization Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Organization Type*

Educational (must be 8th grade and below)Non-profit 501(c)3OSU Organization (greek, department)NCAA, conference schoolOther
Organization Name*
Coach, Team, or Staff Member Requested*
Description of Event*
Who does this event benefit?*
Are they in 9th - 12th grade?*

YesNo
We're sorry, but NCAA regulations prohibits any NCAA institution from participating in events or fundraisers benefitting students 9th through 12th grade. If you have any questions, please call NCAA Compliance office for clarification at 405.744.7862.
PROMOTIONAL ACTIVITIES RELEASE STATEMENT

Please read, sign and return this form when submitting your Appearance Request Form

I ensure as an authorized agent of a charitable, education or nonprofit agency, my agency will use the Oklahoma State University student-athlete’s name, image or appearance pursuant to the requirements stated NCAA Bylaw 12.5.1, which are as follows:

NCAA Bylaw 12.5.1

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:

The specific activity or project in which the student-athlete participates does not involve cosponsorship, 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;

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;

The student-athlete does not miss class;

All moneys derived from the activity or project go directly to the member institution, member conference or the charitable, educational or nonprofit agency;

The student-athlete may accept legitimate and normal expenses from the member institution, member conference or the charitable, educational or nonprofit agency related to participation in such activity, provided it occurs within the state or, if outside the state, within a 100-mile radius of the member institution's campus;

The student-athlete's name, picture or appearance is not utilized to promote the commercial ventures of any nonprofit agency;

Any commercial items with names or pictures of student-athletes (other than highlight films or media guides per Bylaw 12.5.1.8) 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); and

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.
Date*

MonthDayYear
Date
Type Name*
Organization*
Signature*

Clear
Should be Empty:

OSU Athletics Appearance Request