FORM

LC - 01

[A] Lithuanian Hall Volleyball Championship: U-17

G/indoor/COLLECTIVE_LICENCE

SEASON 2023 / 2024

[A] Application
approved

TEAM_TITLE: KSM "Startas-3" (U17B) FIELDS/country: Lithuania

MEMBER_LIST

NUMBER	MEMBER_NAME	FIELDS/birthdate	FIELDS/origin_country	FIELDS/weight	FIELDS/height	FIELDS/position
1	Mykolas PARŠELIŪNAS	2009	Lithuania	0	0	[A] Outside - Hitter
2	Dominykas KAMINSKIS	2009	Lithuania	72	185	[A] Middle - Blocker
2	Arijus RAVINIS	2008	Lithuania	0	0	[A] Outside - Hitter
3	Armandas MIKLINEVIČIUS	2007	Lithuania	0	0	[A] Outside - Hitter
4	Saulius ČESONIS	2009	Lithuania	0	0	INDOOR_POSITIONS_OPTS/4
5	Linas STANIULIS	2008	Lithuania	0	0	[A] Middle - Blocker
7	Robertas ORLOVAS	2008	Lithuania	0	0	[A] Setter
8	Linas BRAZDŽIUS	2008	Lithuania	0	0	[A] Outside - Hitter
9	Matas VENSLOVAS	2009	Lithuania	0	0	[A] Setter
10	Augustinas KARALIUS	2010	Lithuania	0	0	[A] Middle - Blocker
11	Martynas JUOČYS	2008	Lithuania	0	0	[A] Middle - Blocker
12	Ignas PRANCKEVIČIUS	2008	Lithuania	0	0	[A] Outside - Hitter
13	Benas KERNUŠEVIČIUS	2010	Lithuania	0	0	[A] Outside - Hitter
13	Gvidas PAŽEMECKAS	2008	Lithuania	68	170	[A] Setter
14	Majus SAKALAUSKAS	2008	Lithuania	0	0	[A] Outside - Hitter
15	Simonas DIČKUS	2008	Lithuania	68	172	[A] Outside - Hitter
17	Vilius JUOČYS	2007	Lithuania	0	0	[A] Middle - Blocker
30	Dovydas VENCLOVA	2008	Lithuania	0	0	[A] Opposite

HEAD_COACH	Laura Simanavičiūtė
ASSIST_COACH	Aleksandras Volobujevas
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/orange	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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