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LASIK NIL Program Application

Step 1 of 5

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📝 Basic Information

Your Name*

First Last

Email*

Phone Number*

College/University*

How Did You FIRST Hear About This Program

Preferred Method of Contact

🏈 Athletic Information

Primary Sport/Team*

Division or Organization*

Current Class*

Expected Graduation Year*

📱 Social Media & Influence

Facebook Profile Link

Instagram Profile Link

Twitter (𝕏) Profile Link

TikTok Profile Link (If Applicable)

Other Profile Link(s)

Total Follower Count (estimate OK)*

👓 Vision & Eligibility

Do you currently wear contacts or glasses?*

Yes

No

Sometimes

Have you ever had a LASIK consultation before?*

Yes

No

Unsure

Are you 18 years of age or older? (Required for LASIK candidacy)*

Yes

No

Are you currently in-season or off-season?*

Yes

No

✅ Compliance Confirmations

Are you willing to disclose your NIL agreement to your school’s compliance office?*

Yes

No

Are you willing to follow LASIK.com’s NIL content guidelines and FTC rules for sponsored posts?*

Yes

No

2. Does your school or athletic department have any existing partnerships (e.g., eyewear brands, health providers, etc.) that may conflict with a LASIK NIL agreement?*

Yes

No

3. Are you currently under any exclusivity clauses in other NIL agreements that could prevent a partnership with LASIK.com?*

Yes

No

6. Do you agree to comply with FTC guidelines by using appropriate disclosure hashtags like #ad or #sponsored in all content related to this partnership?*

I agree to comply with FTC disclosure guidelines.

I confirm that I understand all LASIK treatments are contingent upon medical eligibility and consultation approval.*

I understand.

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