WY Stat § 33-44-105 (2021)
2021 Wyoming Statutes|Title 33 - Professions and Occupations|Chapter 44 - Uniform Athlete Agents Act|Section 33-44-105 - Athlete Agent Disclosure Form; Requirements.

33-44-105. Athlete agent disclosure form; requirements.| (a) The athlete agent disclosure form shall be in a record executed in the name of an individual and signed by the athlete agent under penalty of perjury and, except as otherwise provided in subsection (b) of this section, must state or contain:  (i) The name of the athlete agent and the address of the athlete agent's principal place of business;  (ii) The name of the athlete agent's business or employer, if applicable;  (iii) Any business or occupation engaged in by the athlete agent for the five (5) years next preceding the date of execution of the athlete agent disclosure form;  (iv) A description of the athlete agent's:  (A) Formal training as an athlete agent;  (B) Practical experience as an athlete agent; and  (C) Educational background relating to the athlete agent's activities as an athlete agent.  (v) The names and addresses of three (3) individuals not related to the athlete agent who are willing to serve as references;  (vi) The name, sport, and last known team for each individual for whom the athlete agent provided services as an athlete agent during the five (5) years next preceding the date of execution of the athlete agent disclosure form;  (vii) The names and addresses of all persons who are:  (A) With respect to the athlete agent's business if it is not a corporation, the partners, officers, associates or profit-sharers; and  (B) With respect to a corporation employing the athlete agent, the officers, directors and any shareholder of the corporation with a five percent (5%) or greater interest.  (viii) Whether the athlete agent or any other person named pursuant to paragraph (vii) of this subsection has been convicted of a crime that, if committed in this state, would be a felony or other crime that relates to the practice of serving as an athlete agent or to the ability to serve as an athlete agent, and identify the crime;  (ix) Whether there has been any administrative or judicial determination that the athlete agent or any other person named pursuant to paragraph (vii) of this subsection has made a false, misleading, deceptive or fraudulent representation;  (x) Any instance in which the conduct of the athlete agent or any other person named pursuant to paragraph (vii) of this subsection resulted in the imposition of a sanction, suspension or declaration of ineligibility to participate in an interscholastic or intercollegiate athletic event on a student athlete or educational institution;  (xi) Any sanction, suspension or disciplinary action taken against the athlete agent or any other person named pursuant to paragraph (vii) of this subsection arising out of occupational or professional conduct; and  (xii) Whether there has been any denial of an application for, suspension or revocation of, or refusal to renew, the registration or licensure of the athlete agent or any other person named pursuant to paragraph (vii) of this subsection as an athlete agent in any state.  (b) An individual who has submitted an application for, and received a certificate of or a renewal of a certificate of, registration or licensure as an athlete agent in another state may submit a copy of the application and a valid certificate of registration or licensure from the other state in lieu of submitting an athlete agent disclosure form in the form prescribed pursuant to subsection (a) of this section, but only if the application to the other state:  (i) Was submitted in the other state within the six (6) months next preceding the date of delivery of the athlete agent disclosure form in this state and the athlete agent certifies the information contained in the application is current;  (ii) Contains information substantially similar to or more comprehensive than that required in an athlete agent disclosure form under subsection (a) of this section; and  (iii) Was signed by the athlete agent under penalty of perjury.