FORM

LC - 01

[A] Lithuanian Hall Volleyball Championship: U-17

G/indoor/COLLECTIVE_LICENCE

SEASON 2025 / 2026

[A] Application
approved

TEAM_TITLE: Viesulo SC - 1 FIELDS/country: Lithuania

MEMBER_LIST

NUMBER	MEMBER_NAME	FIELDS/birthdate	FIELDS/origin_country	FIELDS/weight	FIELDS/height	FIELDS/position
1	Matas BAŠINSKAS	2010	Lithuania	85	176	[A] Setter
2	Titas GUSTAINIS	2009	Lithuania	65	181	INDOOR_POSITIONS_OPTS/4
2	Aidas LELĖNA	2009	Lithuania	90	196	[A] Middle - Blocker
3	Kipras SLAUSGALVIS	2009	Lithuania	79	191	[A] Outside - Hitter
4	Eimantas BERTULIS	2009	Lithuania	80	185	[A] Middle - Blocker
4	Karolis PRANCKEVIČIUS	2009	Lithuania	78	188	[A] Middle - Blocker
5	Mantas ANDRIJAUSKAS	2010	Lithuania	75	185	[A] Middle - Blocker
6	Juozas VARPIOTAS	2009	Lithuania	72	180	[A] Setter
9	Tauras MOCKEVIČIUS	2009	Lithuania	90	186	[A] Opposite
10	Vytautas UNDZYS	2009	Lithuania	69	184	[A] Outside - Hitter
18	Kajus BRUŽAS	2009	Lithuania	72	183	[A] Middle - Blocker
21	Adomas VILEMAS	2009	Lithuania	70	185	[A] Middle - Blocker

HEAD_COACH	Rokas Aukštkalnis
ASSIST_COACH
TEAM_PRESIDENT
DOCTOR
[A] Trainer of Physical Training

[A] Responsible person
[A] Name surname	[A] Tel. no	[A] E -mail mail adress
Rokas Aukštkalnis	+37062635779	rokas.aukstkalnis@gmail.com

TEAM_CLOTHING

#	TEAM_TSHIRT	TEAM_SHORTS
1	COLORS/blue	COLORS/blue
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