FORM

LC - 01

[A] Lithuanian Hall Volleyball Championship: U-15

G/indoor/COLLECTIVE_LICENCE

SEASON 2023 / 2024

[A] Application
approved

TEAM_TITLE: KSM "Startas-1 (U15B) FIELDS/country: Lithuania

MEMBER_LIST

NUMBER	MEMBER_NAME	FIELDS/birthdate	FIELDS/origin_country	FIELDS/height	FIELDS/position
0	Mangirdas DIEDONIS	2010	Lithuania	171	[A] Outside - Hitter
0	Benas KARNUŠEVIČIUS	2010	Lithuania	170	[A] Outside - Hitter
3	Mykolas PARŠELIŪNAS	2009	Lithuania	173	[A] Outside - Hitter
0	Saulius ČESONIS	2009	Lithuania	165	[A] Outside - Hitter
14	Matas VENSLOVAS	2009	Lithuania	175	[A] Outside - Hitter
17	Jonas PESECKIS	2010	Lithuania	179	[A] Middle - Blocker
0	Matas TAUJANSKAS	2010	Lithuania	167	[A] Setter
5	Tadas BUTYLKINAS	2010	Lithuania	169	[A] Outside - Hitter
18	Mantvydas VOLKAS	2010	Lithuania	175	[A] Opposite
2	Gustas STANKEVIČIUS	2009	Lithuania	170	[A] Outside - Hitter
8	Dominykas KAMINSKIS	2009	Lithuania	183	[A] Middle - Blocker
10	Maksim SHTOKAILO	2009	Lithuania	170	[A] Setter
11	Mindaugas ŠUKYS	2010	Lithuania	174	[A] Outside - Hitter
12	Judrius RAČKAUSKAS	2011	Lithuania	162	INDOOR_POSITIONS_OPTS/4
13	Motiejus JURGIONIS	2010	Lithuania	171	[A] Outside - Hitter
15	Kristupas SLIEŽAUSKAS	2009	Lithuania	172	[A] Outside - Hitter
16	Justas RIMKUS	2010	Lithuania	176	[A] Outside - Hitter
19	Gytis BRAZAUSKAS	2010	Lithuania	170	[A] Outside - Hitter

HEAD_COACH	Aleksandras Volobujevas
ASSIST_COACH	Jolita Kontvainienė
TEAM_PRESIDENT
DOCTOR
[A] Trainer of Physical Training

[A] Responsible person
[A] Name surname	[A] Tel. no	[A] E -mail mail adress
Olga Bulatovienė	865240077	tinklinis@smstartas.lt

TEAM_CLOTHING

#	TEAM_TSHIRT	TEAM_SHORTS
1	COLORS/black	COLORS/black
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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