In accordance with NCAA regulations we, the submitter of this form, do hereby certify that:
In submitting this request, I certify that all of the funds generated by the student-athlete’s name, picture or appearance will be distributed directly to the charitable, educational or nonprofit agency, and that the agency understands and will adhere to all NCAA rules. I understand that it is not permissible for the institution or its representatives to participate in a fund raising activity or event that will benefit any students in grades 9 through 12.
Contact Myisha Jennings at
firstname.lastname@example.org or (330) 941-3254 with questions.