FORM

LC - 01

[A] Lithuanian Hall Volleyball Championship: U-17

G/indoor/COLLECTIVE_LICENCE

SEASON 2023 / 2024

[A] Application
approved

TEAM_TITLE: Panevėžio SC FIELDS/country: Lithuania

MEMBER_LIST

NUMBER	MEMBER_NAME	FIELDS/birthdate	FIELDS/origin_country	FIELDS/weight	FIELDS/height	FIELDS/position
1	Mindaugas SAMULIONIS	2007	Lithuania	79	196	[A] Outside - Hitter
2	Dovydas MALKEVIČIUS	2007	Lithuania	0	196	[A] Outside - Hitter
3	Agnius MARKEVIČIUS	2009	Lithuania	61	180	[A] Outside - Hitter
4	Rytis ŽADEIKA	2008	Lithuania	70	188	[A] Outside - Hitter
5	Benas TAMOŠIŪNAS	2008	Lithuania	70	180	[A] Outside - Hitter
6	Augustas GRITĖNAS	2008	Lithuania	76	186	[A] Outside - Hitter
7	Kasparas BILINSKAS	2007	Lithuania	76	190	[A] Outside - Hitter
8	Adomas VALONIS	2007	Lithuania	78	181	[A] Outside - Hitter
9	Rasmantas BUIKA	2008	Lithuania	60	186	[A] Outside - Hitter
10	Rapolas MARCIUŠKA	2007	Lithuania	61	184	[A] Setter
11	Pijus ALBAVIČIUS	2008	Lithuania	0	188	[A] Outside - Hitter
12	Robertas TOLPEŽNINKAS	2007	Lithuania	77	186	[A] Outside - Hitter
15	Ervinas TAMULIONIS	2007	Lithuania	71	167	INDOOR_POSITIONS_OPTS/4
16	Kipras JEKIMOVAS	2011	Lithuania	59	170	INDOOR_POSITIONS_OPTS/4
17	Dominykas ASTRAVAS	2009	Lithuania	67	182	[A] Outside - Hitter

HEAD_COACH	Vytautas Skunčikas
ASSIST_COACH	Dovydas Jekimovas
TEAM_PRESIDENT
DOCTOR
[A] Trainer of Physical Training

[A] Responsible person
[A] Name surname	[A] Tel. no	[A] E -mail mail adress
Jolanta Četkauskienė	+37064711229	j.cetkauskiene@gmail.com

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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