FORM

LC - 01

[A] Lithuanian Hall Volleyball Championship: U-19

G/indoor/COLLECTIVE_LICENCE

SEASON 2023 / 2024

[A] Application
approved

TEAM_TITLE: Eišiškių A. Ratkevičiaus SM FIELDS/country: Lithuania

MEMBER_LIST

NUMBER	MEMBER_NAME	FIELDS/birthdate	FIELDS/origin_country	FIELDS/weight	FIELDS/height	FIELDS/position
2	Jan LEBED	2005	Lithuania	60	175	[A] Opposite
2	Daniel MASIAN	2008	Lithuania	84	182	[A] Setter
4	Ernestas ALEKSIUKAS	2005	Lithuania	77	187	[A] Opposite
5	Martynas GUSTAS	2007	Lithuania	70	186	[A] Setter
7	Adrian VALICKI	2005	Lithuania	78	182	[A] Outside - Hitter
8	Donatas MAZOLIS	2008	Lithuania	76	187	[A] Opposite
9	Egidijus GAIDUKEVIČ	2006	Lithuania	74	183	[A] Outside - Hitter
10	Deividas MALEVSKIJ	2005	Lithuania	72	185	[A] Outside - Hitter
11	Deinius STEFANOVIČIUS	2005	Lithuania	80	189	[A] Opposite
12	Matas ŠVERNIENKA	2005	Lithuania	83	188	[A] Setter
13	Augustinas EIDUKAS	2005	Lithuania	86	193	[A] Outside - Hitter
16	Norbert PETIUN	2007	Lithuania	0	0	[A] Outside - Hitter

HEAD_COACH	Andrej Venckevič
ASSIST_COACH
TEAM_PRESIDENT
DOCTOR
[A] Trainer of Physical Training

[A] Responsible person
[A] Name surname	[A] Tel. no	[A] E -mail mail adress
Andrej Venckevič	+37068682990	andzej.venckevic@eisiskiuarsportomokykla.lt

TEAM_CLOTHING

#	TEAM_TSHIRT	TEAM_SHORTS
1	COLORS/blue	COLORS/white
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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