FORM

LC - 01

[A] 2021-2022. Lithuanian Room Championship.

G/indoor/COLLECTIVE_LICENCE

SEASON 2021 / 2022

[A] Application
approved

TEAM_TITLE: SM ,,Startas" (U19B) FIELDS/country: Lithuania

MEMBER_LIST

NUMBER	MEMBER_NAME	FIELDS/birthdate	FIELDS/origin_country	FIELDS/weight	FIELDS/height	FIELDS/position
1	Benas KUIZINAS	2005	Lithuania	66	190	[A] Opposite
2	Gediminas GARGASAS	2005	Lithuania	63	182	INDOOR_POSITIONS_OPTS/4
3	Justas ZIUTELIS	2005	Lithuania	78	190	[A] Middle - Blocker
4	Rapolas NORVILAS	2005	Lithuania	73	185	[A] Middle - Blocker
5	Simonas MEIŽENIS	2005	Lithuania	80	185	[A] Setter
6	Mantas RIMKEVICIUS	2005	Lithuania	75	185	[A] Setter
7	Matas MAŽEIKA	2005	Lithuania	70	191	[A] Outside - Hitter
8	Kristupas VAIVADA	2004	Lithuania	72	189	[A] Middle - Blocker
9	Deimantas PALEKAS	2004	Lithuania	67	181	INDOOR_POSITIONS_OPTS/4
10	Rytis NACEVIČIUS	2006	Lithuania	70	190	[A] Outside - Hitter
11	Titas TAMOŠAUSKAS	2006	Lithuania	75	190	[A] Outside - Hitter
12	Domantas IVANAUSKAS	2004	Lithuania	75	191	[A] Middle - Blocker
13	Nedas TOLPEŽNINKAS	2004	Lithuania	70	192	[A] Opposite
14	Ugnius VENCLOVAS	2005	Lithuania	80	188	[A] Outside - Hitter
15	Adomas PIVORIŪNAS	2005	Lithuania	64	187	[A] Outside - Hitter
16	Said SEYDALIEV	2005	Lithuania	69	178	INDOOR_POSITIONS_OPTS/4
17	Nojus ŽĄSYTIS	2006	Lithuania	67	186	[A] Outside - Hitter
18	Naglis ŠILIAUSKAS	2006	Lithuania	60	185	[A] Outside - Hitter

HEAD_COACH	Rūta Skorupskienė
ASSIST_COACH
TEAM_PRESIDENT
DOCTOR
[A] Trainer of Physical Training

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

TEAM_CLOTHING

#	TEAM_TSHIRT	TEAM_SHORTS
1	COLORS/white	COLORS/green
2	COLORS/yellow	COLORS/black
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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