FORM

LC - 01

[A] In 2021 LTF Men's Grand Cup

G/indoor/COLLECTIVE_LICENCE

SEASON 2021 / 2022

TEAM_TITLE: Panevėžio Agrochemija-SC FIELDS/country: Lithuania

MEMBER_LIST

NUMBER	MEMBER_NAME	FIELDS/birthdate	FIELDS/origin_country	FIELDS/weight	FIELDS/height	FIELDS/position
1	Lukas MIKALAJŪNAS	1995	Lithuania	85	184	[A] Setter
2	Oskaras ROTOMSKIS	2000	Lithuania	81	185	[A] Outside - Hitter
3	Edvinas GERDVILA	2003	Lithuania	82	188	[A] Opposite
5	Aivaras NAVICKAS	2004	Lithuania	86	190	[A] Outside - Hitter
6	Arnoldas BAUKUS	1991	Lithuania	80	189	[A] Outside - Hitter
7	Girius PLIKIONIS	2003	Lithuania	101	191	[A] Middle - Blocker
8	Donatas MATULIONIS	1981	Lithuania	92	192	INDOOR_POSITIONS_OPTS/4
9	Dovydas JEKIMOVAS	2006	Lithuania	88	190	[A] Setter
10	Haroldas NAVIKAS	1996	Lithuania	89	187	[A] Middle - Blocker
11	Jokūbas ŠNIAUKA	2003	Lithuania	75	186	[A] Opposite
12	Benjaminas KLIVICKAS	2003	Lithuania	101	191	[A] Middle - Blocker
13	Deimantas LIUBINAS	1983	Lithuania	97	187	[A] Setter
14	Matas NAVARSKAS	1994	Lithuania	90	193	[A] Middle - Blocker
16	Aurimas GLUDKINAS	1982	Lithuania	83	183	[A] Outside - Hitter
17	Aurimas VOIŠKA	1997	Lithuania	90	191	[A] Outside - Hitter
18	Deimantas MAROZAS	2003	Lithuania	80	180	[A] Outside - Hitter

HEAD_COACH	Gintautas Stanevičius
ASSIST_COACH	Vytautas Skunčikas
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/blue	COLORS/blue
2	-	-
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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