APPLICATION FOR REGISTRATION
OF ATHLETE AGENT
Please mail completed registration application to: Oklahoma Secretary of State, 2300 N
Lincoln Blvd, Room 101, Oklahoma City, Oklahoma 73105.
Pursuant to Title 70 O.S. Sec. 821.61 et seq., the undersigned hereby submits the following
application for registration:
Name of Applicant:
Applicant is: ( ) an individual; ( ) a company; ( ) a partnership;
( ) a corporation; ( ) an association;( ) other legal entity.
If Applicant is other than an individual, list the name of each field agent and complete
the applicable information.
Name of Field Agent:
Address of the Applicant's principal place of business:
Business or occupation engaged in by Applicant for five (5) years preceding the date of this
Applicant's and/or Field Agent's:
A. Formal Training:
B. Practical Experience:
Educational background in the subjects of contracts, contract negotiation, complaint
resolution, arbitration or civil resolution of contract disputes, federal income taxation and federal
Names and addresses of five (5) professional references:
Names and addresses of all athletes for whom the athlete agent is performing professional
Names and addresses of all athletes for whom the athlete agent has previously performed
professional services, accompanied by a brief explanation of the reason the athlete agent is not
currently performing professional services for the athletes.
Names and addresses of all persons, except bona fide employees o