FORM

LC - 01

[A] In 2021 LTF Men's Grand Cup

G/indoor/COLLECTIVE_LICENCE

SEASON 2021 / 2022

TEAM_TITLE: Gargždų "Amber - Arlanga" FIELDS/country: Lithuania

MEMBER_LIST

NUMBER	MEMBER_NAME	FIELDS/birthdate	FIELDS/origin_country	FIELDS/weight	FIELDS/height	FIELDS/position
1	Sergii SHCHEGOL	1985	Lithuania	79	179	INDOOR_POSITIONS_OPTS/4
2	Artūras SITNIKAS	1996	Lithuania	75	174	INDOOR_POSITIONS_OPTS/4
3	Vilius RUBAVIČIUS	1994	Lithuania	95	194	[A] Opposite
4	Artūr VINCĖLOVIČ	1997	Lithuania	82	184	[A] Outside - Hitter
5	Viktor SHCHEKALYUK	1988	Ukraine	102	206	[A] Middle - Blocker
6	Dmytro SHLOMIN	1982	Ukraine	93	195	[A] Setter
17	Robert JUCHNEVIC	1994	Lithuania	82	192	[A] Opposite
8	Edvinas ŽALTAUSKAS	1994	Lithuania	83	193	[A] Middle - Blocker
9	Marius BARAUSKIS	1999	Lithuania	90	192	[A] Setter
11	Linas STARKUTIS	1994	Lithuania	96	202	[A] Middle - Blocker
13	Arnas RUMŠEVIČIUS	1995	Lithuania	90	194	[A] Outside - Hitter
19	Daumantas KATINAS	1998	Lithuania	95	198	[A] Outside - Hitter
16	Andrii CHMIROV	1992	Ukraine	91	196	[A] Opposite
15	Artūr VASILJEV	1992	Lithuania	90	191	[A] Outside - Hitter

HEAD_COACH	Austris Stals
ASSIST_COACH	Sergii Shchegol
TEAM_PRESIDENT	Salvijus Paškauskas
DOCTOR
[A] Trainer of Physical Training	Benas Kentra

[A] Responsible person
[A] Name surname	[A] Tel. no	[A] E -mail mail adress

TEAM_CLOTHING

#	TEAM_TSHIRT	TEAM_SHORTS
1	COLORS/orange	COLORS/orange
2	COLORS/blue	COLORS/blue
3	-	-

By signing, the manager or responsible person acknowledges that:

Is familiar with the 2024/25 LTF competition regulations and the Code of Ethics and undertakes to pay the taxes due to the team and the imposed fines.
Is familiar with 1995 December 20 No. I-1151, Clauses 1 and 2 of Article 14 of the Sports Law of the Republic of Lithuania and assumes full responsibility related to possible risks to the life and health of club volleyball players during matches, participating in competitions organized by LTF volleyball, if the athlete does not have a doctor's permission on the day of the match.
Article 14 of the Sports Law of the Republic of Lithuania "Requirements for the organization of sports exercises, sports competitions, physical activity exercises and other sports events":
"Organizers of sports exercises, sports competitions, physical activity exercises and other sports events, when informing about the event (exercises), must also indicate possible risks to the life and (or) health of the person that may occur to the participant during the event (exercises), and recommend before participation at the event (exercises) to check their health at personal health care institutions. Minors who have not had their health checked at personal health care institutions or who, according to the received conclusion, cannot participate in the selected sports exercises, sports competitions, the organizers of sports exercises, sports competitions do not allow them to participate in sports exercises, sports competitions.
A person is allowed to participate in sports exercises, sports competitions, physical activity exercises and other sports events only if he or his representatives, in accordance with the law, declare in writing (including electronically) that he has been introduced to the information specified in paragraph 1 of this article and undertakes responsibility for the state of health during participation in such an event, with the exception of minors, for whom a health check-up is mandatory."

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