FORM

LC - 01

[A] Lithuanian Hall Volleyball Championship: U-19

G/indoor/COLLECTIVE_LICENCE

SEASON 2025 / 2026

TEAM_TITLE: SC Dubysa FIELDS/country: Lithuania

MEMBER_LIST

NUMBER	MEMBER_NAME	FIELDS/birthdate	FIELDS/origin_country	FIELDS/position
1	Gabrielė VALČIUKAITĖ	2008	Lithuania	[A] Setter
2	Austėja ŠARLAUSKAITĖ	2007	Lithuania	[A] Middle - Blocker
4	Benita JANAUSKAITĖ	2007	Lithuania	INDOOR_POSITIONS_OPTS/4
4	Austėja ABROMAVIČIŪTĖ	2008	Lithuania	INDOOR_POSITIONS_OPTS/4
5	Austėja GERINGSONAITĖ	2007	Lithuania	[A] Middle - Blocker
6	Tėja MASIULYTĖ	2007	Lithuania	[A] Middle - Blocker
7	Dagnė GULBINAITĖ	2008	Lithuania	[A] Middle - Blocker
8	Rugilė GRIŠIUTĖ	2008	Lithuania	[A] Setter
9	Miglė BALTRIMAITYTĖ	2007	Lithuania	[A] Middle - Blocker
10	Viltė PAULAUSKAITĖ	2007	Lithuania	[A] Outside - Hitter
11	Urtė ŠLIAUTERYTĖ	2008	Lithuania	[A] Middle - Blocker
12	Gabija JAGMINAITĖ	2008	Lithuania	[A] Outside - Hitter
13	Kornelija ŠIAULYTĖ	2007	Lithuania	[A] Outside - Hitter
14	Viltė OBERAUSKAITĖ	2008	Lithuania	[A] Outside - Hitter
15	Deira ZALECKYTĖ	2007	Lithuania	[A] Setter
16	Mantė KAUPAITĖ	2008	Lithuania	[A] Outside - Hitter
17	Sofija JASUDAVIČIŪTĖ	2007	Lithuania	[A] Setter
18	Emanuelė POŠKAITĖ	2007	Lithuania	[A] Middle - Blocker

HEAD_COACH	Andra Gutparakienė
ASSIST_COACH	Aivaras Strockis, Genadijus Pušnovas
TEAM_PRESIDENT
DOCTOR
[A] Trainer of Physical Training

[A] Responsible person
[A] Name surname	[A] Tel. no	[A] E -mail mail adress
Aivaras Strockis	+370 657 69752	smdubysa@gmail.com

TEAM_CLOTHING

#	TEAM_TSHIRT	TEAM_SHORTS
1	COLORS/yellow	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."

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