FORM

LC - 01

[A] Lithuanian Hall Volleyball Championship: U-19

G/indoor/COLLECTIVE_LICENCE

SEASON 2023 / 2024

[A] Application
approved

TEAM_TITLE: Klaipėdos SC "Viesulas" FIELDS/country: Lithuania

MEMBER_LIST

NUMBER	MEMBER_NAME	FIELDS/birthdate	FIELDS/origin_country	FIELDS/position
1	Augustė KUNDROTAITĖ	2005	Lithuania	[A] Middle - Blocker
2	Smiltė ŠIMANSKYTĖ	2005	Lithuania	[A] Middle - Blocker
3	Mintarė RINDZEVIČIŪTĖ	2005	Lithuania	[A] Setter
4	Viltė DROMANTAITĖ	2006	Lithuania	[A] Setter
5	Evelina ŽADEIKYTĖ	2006	Lithuania	[A] Outside - Hitter
6	Radvile VASILIAUSKAITE	2006	Lithuania	[A] Outside - Hitter
7	Patricija JOKŠAITĖ	2006	Lithuania	[A] Outside - Hitter
8	Elada DAUBARYTĖ	2007	Lithuania	[A] Middle - Blocker
9	Monika BARAUSKAITĖ	2007	Lithuania	[A] Middle - Blocker
10	Odri VIŠUMIRSKYTĖ	2007	Lithuania	[A] Setter
11	Austė JANUTAITĖ	2007	Lithuania	INDOOR_POSITIONS_OPTS/4
12	Ugnė BUDRYTĖ	2007	Lithuania	[A] Setter
13	Austėja MICKUTĖ	2007	Lithuania	[A] Outside - Hitter
14	Kotryna ARMALYTĖ	2007	Lithuania	[A] Middle - Blocker
15	Ema PAVLOVSKAJA	2007	Lithuania	[A] Outside - Hitter
16	Kamilė LABANAUSKAITĖ	2006	Lithuania	[A] Outside - Hitter
17	Miglė BALTRAMONAITYTĖ	2007	Lithuania	[A] Outside - Hitter
18	Ieva TOLSTOVAITĖ	2007	Lithuania	[A] Middle - Blocker
24	Polina PAK	2008	Lithuania	[A] Outside - Hitter

HEAD_COACH	Valdemaras Piešinas
ASSIST_COACH
TEAM_PRESIDENT
DOCTOR
[A] Trainer of Physical Training

[A] Responsible person
[A] Name surname	[A] Tel. no	[A] E -mail mail adress
Valdemaras Piešinas	+37065292736	valdpiesinas@gmail.com

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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