FORM

LC - 01

[A] Lithuanian Hall Volleyball Championship: U-14

G/indoor/COLLECTIVE_LICENCE

SEASON 2025 / 2026

[A] Application
approved

TEAM_TITLE: A. Ratkevičiaus SM FIELDS/country: Lithuania

MEMBER_LIST

NUMBER	MEMBER_NAME	FIELDS/birthdate	FIELDS/origin_country	FIELDS/weight	FIELDS/height	FIELDS/position
1	Maja VLASOVA	2012	Lithuania	40	162	[A] Setter
4	Viktorija OSIPOVIČ	2012	Lithuania	48	171	[A] Middle - Blocker
5	Adriana DORNIAK	2012	Lithuania	60	165	[A] Outside - Hitter
7	Gabija PILŽIS	2012	Lithuania	45	165	[A] Setter
7	Patricija PUMPUTYTĖ	2012	Lithuania	45	170	[A] Middle - Blocker
8	Patricija PREIKŠAITĖ	2012	Lithuania	60	171	[A] Outside - Hitter
10	Modesta ŠERLAT	2012	Lithuania	70	164	[A] Setter
12	Vitalija DARIJA LAGO	2012	Lithuania	53	173	[A] Outside - Hitter
13	Elžbieta GALIN	2012	Lithuania	46	161	[A] Outside - Hitter
14	Adrija RUSAKEVIČ	2012	Lithuania	49	170	[A] Middle - Blocker
14	Jelena LIACHOVA	2012	Lithuania	55	163	[A] Outside - Hitter
15	Adriana ŽILINSKAJA	2012	Lithuania	50	151	[A] Setter
17	Agata VOITECHOVIČ	2012	Lithuania	58	162	[A] Setter
18	Sabina STEPONENKOVAITĖ	2012	Lithuania	65	171	[A] Setter

HEAD_COACH	Lilija Firinovič
ASSIST_COACH	Adriana Rimpo, Andrej Venckevič
TEAM_PRESIDENT	Romas Urvikis
DOCTOR
[A] Trainer of Physical Training

[A] Responsible person
[A] Name surname	[A] Tel. no	[A] E -mail mail adress
Lilija Firinovič	+37061411327	lilija.firinovic@eisiskiuarsportomokykla.lt

TEAM_CLOTHING

#	TEAM_TSHIRT	TEAM_SHORTS
1	COLORS/red	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."

Print version G/application/EXPORT2DATAVOLLEY