FORM

LC - 01

[A] Lithuanian Hall Volleyball Championship: U-17

G/indoor/COLLECTIVE_LICENCE

SEASON 2023 / 2024

[A] Application
approved

TEAM_TITLE: KSM "Startas-2" (U17B) FIELDS/country: Lithuania

MEMBER_LIST

NUMBER	MEMBER_NAME	FIELDS/birthdate	FIELDS/origin_country	FIELDS/position
0	Gustautas PADVELSKIS	2008	Lithuania	[A] Outside - Hitter
1	Povilas BAGDONAS	2007	Lithuania	[A] Setter
2	Mintautas BARTNIKAS	2008	Lithuania	[A] Middle - Blocker
3	Rytis LUKAŠEVIČIUS	2008	Lithuania	[A] Outside - Hitter
4	Aidas MILIAUSKAS	2008	Lithuania	[A] Outside - Hitter
5	Povilas GRIGAS	2007	Lithuania	[A] Outside - Hitter
7	Martynas MEIŽENIS	2007	Lithuania	[A] Outside - Hitter
8	Ąžuolas PALEKAS	2008	Lithuania	[A] Opposite
10	Domantas REKERTA	2007	Lithuania	[A] Opposite
11	Kasparas LEKECKAS	2008	Lithuania	[A] Middle - Blocker
12	Ignas STANEVIČIUS	2008	Lithuania	[A] Middle - Blocker
13	Emilis VALIOKAS	2008	Lithuania	[A] Setter
14	Benas ŻUKAUSKAS	2009	Lithuania	[A] Setter
15	Ernestas KAUBRYS	2009	Lithuania	[A] Middle - Blocker
16	Žilvinas AČAS	2007	Lithuania	[A] Opposite
17	Elijus GERVĖ	2007	Lithuania	[A] Outside - Hitter
18	Titas GODVAIŠAS	2007	Lithuania	INDOOR_POSITIONS_OPTS/4
19	Nojus JUOZAPAS ŽILINSKAS	2007	Lithuania	[A] Outside - Hitter
0	Matas BORTKEVIČIUS	2009	Lithuania	[A] Outside - Hitter
0	Kristupas DAMBRAUSKAS	2009	Lithuania	[A] Outside - Hitter

HEAD_COACH	Rūta Skorupskienė
ASSIST_COACH	Oksana Smirnovienė
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	-	-
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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