CMS Name, Image, and Likeness Disclosure Form

This form is to serve as a formal request for approval for any CMS student-athlete who will be compensated for the use of their name, image and likeness (NIL) for promotional purposes. Under California Law, all NIL activities must be disclosed.

If you have questions prior to submitting this form, please contact Rachana Bhat, Assistant Athletic Director/SWA at rachana.bhat@cms.claremont.edu.

1NIL Activity Information > 2Document Uploads > 3Acknowledgements and Affirmations > 4Review Your Entry
NIL Activity Information
Your full name
Your school email
Your sport(s):

Your sport(s): Baseball Men's Basketball Men's Cross Country Baseball Women's Basketball Men's Basketball Women's Cross Country Men's Cross Country Women's Golf Men's Golf Lacrosse Football Women's Soccer Men's Soccer Softball Men's Swimming & Diving Women's Swimming & Diving Men's Tennis Women's Tennis Men's Track & Field Women's Track & Field Men's Water Polo Volleyball Women's Water Polo
Describe the name, image and likeness activity. What are the terms of the agreement or transaction? When will the activity begin and end?
How will you be compensated for participating in the NIL activity?
List all parties to the agreement or transaction, other individuals or entities, and professional service providers. (Name of person/entity, their role, and all contact information is required)
Save my progress and resume later
Enter Your Email Address *

A special link to resume the form will be sent to your email address.

CMS Name, Image, and Likeness Disclosure Form

CMS Name, Image, and Likeness Disclosure Form

NIL Activity Information