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LASIK NIL Program Application
Step
1
of
5
20%
📝 Basic Information
Your Name
*
First
Last
Email
*
Phone Number
*
College/University
*
How Did You FIRST Hear About This Program
Our Social Media or Online Advertisement (X, Facebook, Instagram, TikTok, YouTube)
School or Athletic Dept.
Friend or Teammate
Coach or Trainer
Family Member
Eye Doctor
News (TV, Social Media, Paper)
Search Engine
Other
Preferred Method of Contact
Email
Phone
🏈 Athletic Information
Primary Sport/Team
*
Baseball
Basketball (Men's)
Basketball (Women's)
Beach Volleyball
Bowling
Cheerleading / Spirit Squad
Cross Country (Men's)
Cross Country (Women's)
Cycling
Dance Team
Diving
Equestrian
Fencing
Field Hockey
Football
Golf (Men's)
Golf (Women's)
Gymnastics (Men's)
Gymnastics (Women's)
Ice Hockey (Men's)
Ice Hockey (Women's)
Lacrosse (Men's)
Lacrosse (Women's)
Rifle
Rowing
Rugby
Sailing
Skiing
Soccer (Men's)
Soccer (Women's)
Softball
Squash
Swimming (Men's)
Swimming (Women's)
Synchronized Swimming
Table Tennis
Tennis (Men's)
Tennis (Women's)
Track & Field (Indoor – Men's)
Track & Field (Indoor – Women's)
Track & Field (Outdoor – Men's)
Track & Field (Outdoor – Women's)
Triathlon
Volleyball (Men's)
Volleyball (Women's)
Water Polo (Men's)
Water Polo (Women's)
Weightlifting
Wrestling (Men's)
Wrestling (Women's)
Other
Division or Organization
*
NCAA Division I
NCAA Division II
NCAA Division III
NAIA
NJCAA Division I
NJCAA Division II
NJCAA Division III
CCCAA (California Community College Athletic Association)
NWAC (Northwest Athletic Conference)
USCAA (United States Collegiate Athletic Association)
NCCAA (National Christian College Athletic Association)
Club Sports
Intramural
Other
Not Sure
Current Class
*
Freshman (Red Shirt, Grey Shirt)
Sophmore
Junior
Senior
Graduate
Expected Graduation Year
*
2025
2026
2027
2028
2029
2030
2031
2032
📱 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.
Comments/Questions
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Home
Real Stories
About
LASIK Eye Surgery
Modern LASIK
What To Expect
Am I A Safe Candidate for LASIK?
Long-Term Results
LASIK Cost
LASIK Safety
LASIK History
LASIK.com
Locations
Doctors
Resources
Frequently Asked Questions
For Medical Professionals
For Prospective Patients
Patient Login
For Doctors
Español