USA Volleyball - Webpoint

LVC 14 BLUE - Team Roster
Tournament Site: _______________________________________	Tournament Date: ___________
Club: LOCKPORT VOLLEYBALL CLUB	Team Rep: Thomas Schneider
Team: LVC 14 BLUE	6313 Green Valley Ln
Team Code: MJ4LOCKP2WE	Lockport, NY 14094
Region Division: Boys' 14's	716-310-2781
Event Division Entered: __________________________________	Email: tschneid22@aol.com

#

Pos

Name

USAV #

Coach
Status

Coach
Cert.

Ref

Score

SS

Badges

Mbr
Stat

1

Gasbarre, Marco

WE2877078MJ19

C

5

WE3137928MJ19

Y

C

7

WE3136949MJ19

C

8

Hartke, charles

WE3147492MJ19

Y

C

17

WE3191403MJ19

Y

C

35

WE3143419MJ19

C

44

WE3193336MJ19

C

65

WE3153721MJ19

C

79

WE3194184MJ19

C

81

WE3185736MJ19

C

86

WE3184616MJ19

C

90

WE3166283MJ19

C

92

WE3184031MJ19

C

WE1544441FR19

Eligible

IMPACT

Y

Y

C

Schneider, Thomas

WE1312903MR19

Eligible

IMPACT

Y

Y

Y

C

WE2358002MR19

Eligible

IMPACT

Y

C

	Badge Key: 1 = R1, 2 = R2, S = Scorer, L = Libero Tracker, J = Line Judge

ROSTER & USAV Medical/Emergency Release Form Verification
Coaches of the teams in this event are required to carry with them at all times completed USAV Medical/Emergency release forms. The person signing this form verifies that: The above roster is correct and contains all players who will be participating in the event.All players meet age requirements. They will have in their immediate possession at all times during this competition a completedcopy of the USAV Medical/Emergency Release Form for each player listed on the official roster. The team understands it is subject to any and all penalties if this roster does not match theparticipants attending the event, regardless of who signs this verification.
____________________________________________	________________________________________________
Print Name	Signature
____________________________________________	________________________________________________
Phone Number (If different from above)	Date

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