FORM

LC - 01

[A] Lithuanian Hall Volleyball Championship: U-19

G/indoor/COLLECTIVE_LICENCE

SEASON 2024 / 2025

TEAM_TITLE: Vilniaus r. Nemenčinės sporto mokykla FIELDS/country: Lithuania

MEMBER_LIST

NUMBER	MEMBER_NAME	FIELDS/birthdate	FIELDS/origin_country	FIELDS/weight	FIELDS/height	FIELDS/position
1	Gabriel NAUS	2008	Lithuania	65	173	INDOOR_POSITIONS_OPTS/4
2	Edvin JAČNIK	2009	Lithuania	75	185	[A] Opposite
3	Mantas JAZUKEVIČIUS	2008	Lithuania	78	180	[A] Opposite
4	Rapolas BATULEVIČIUS	2008	Lithuania	75	188	[A] Setter
5	Laurynas MATULIONIS	2008	Lithuania	65	182	[A] Opposite
6	Justas MATULIONIS	2009	Lithuania	75	180	[A] Opposite
7	Ernest TANKEVIČ	2007	Lithuania	73	184	[A] Opposite
8	Arkadiuš LIPNEVIČ	2006	Lithuania	75	180	[A] Setter
9	Kamil KOZLOVSKI	2006	Lithuania	86	183	[A] Opposite
10	Bogdan PILECKI	2007	Lithuania	70	182	[A] Opposite
11	Modestas BELIAVCEVAS	2006	Lithuania	90	190	[A] Outside - Hitter
12	Deividas LAVRINAITIS	2008	Lithuania	120	193	[A] Outside - Hitter
13	Bernard KOZLOVSKI	2010	Lithuania	93	174	[A] Opposite

HEAD_COACH	Zbignev Sinkevič
ASSIST_COACH	Valdemaras Šumskas
TEAM_PRESIDENT	Robert Komarovski
DOCTOR
[A] Trainer of Physical Training

[A] Responsible person
[A] Name surname	[A] Tel. no	[A] E -mail mail adress
Zbignev Sinkevič	+37068330112	zbigniew.sinkiewicz@gmail.com

TEAM_CLOTHING

#	TEAM_TSHIRT	TEAM_SHORTS
1	COLORS/red	COLORS/red
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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