FORM

LC - 01

[A] Lithuanian Hall Volleyball Championship: U-17

G/indoor/COLLECTIVE_LICENCE

SEASON 2024 / 2025

[A] Application
approved

TEAM_TITLE: KSM "STARTAS-4" (U17M) FIELDS/country: Lithuania

MEMBER_LIST

NUMBER	MEMBER_NAME	FIELDS/birthdate	FIELDS/origin_country	FIELDS/weight	FIELDS/height	FIELDS/position
1	Emilija VILČINSKAITĖ	2009	Lithuania	58	172	[A] Opposite
2	Gabija LAUKŽEMYTĖ	2009	Lithuania	63	172	[A] Opposite
3	Gustė LAŠINSKAITĖ	2009	Lithuania	53	170	[A] Middle - Blocker
4	Skaistė NOMEIKAITĖ	2010	Lithuania	60	168	[A] Setter
5	Agota STRAUKAITĖ	2010	Lithuania	50	170	[A] Opposite
6	Austėja VITKOVSKYTĖ	2009	Lithuania	65	167	INDOOR_POSITIONS_OPTS/4
7	Miglė ČEPAITYTĖ	2010	Lithuania	66	176	[A] Setter
9	Luknė KAMANDULYTĖ	2009	Lithuania	63	172	[A] Opposite
10	Sofija LENČIAUSKAITĖ	2009	Lithuania	57	170	[A] Setter
11	Gabija BARANAUSKAITĖ	2009	Lithuania	60	177	[A] Opposite
12	Liepa TARASEVIČIŪTĖ	2010	Lithuania	68	178	[A] Middle - Blocker
13	Rūta PATAŠIŪTĖ	2010	Lithuania	75	176	[A] Opposite
14	Kamilė ALEKSEJEVAITĖ	2009	Lithuania	80	166	INDOOR_POSITIONS_OPTS/4
15	Saulė CIKANAVIČIŪTĖ	2008	Lithuania	55	174	[A] Setter
16	Karina DULŲNSKAITĖ	2010	Lithuania	62	183	[A] Middle - Blocker
2	Aistė ARIFOVAITĖ	2010	Lithuania	55	173	[A] Middle - Blocker

HEAD_COACH	Edita Simonavičienė
ASSIST_COACH
TEAM_PRESIDENT
DOCTOR
[A] Trainer of Physical Training

[A] Responsible person
[A] Name surname	[A] Tel. no	[A] E -mail mail adress
Olga Bulatovienė	+37065240077	tinklinis@smstartas.lt

TEAM_CLOTHING

#	TEAM_TSHIRT	TEAM_SHORTS
1	COLORS/blue	COLORS/black
2	COLORS/red	COLORS/black
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."

Print version