LVC 16 BLUE - Team Roster
Tournament Site: _______________________________________Tournament Date: ___________
Club: LOCKPORT VOLLEYBALL CLUB Team Rep: Thomas Schneider
Team: LVC 16 BLUE6313 Green Valley Ln
Team Code: MJ6LOCKP2WE Lockport, NY  14094
Region Division: Boys' 16's716-310-2781
Event Division Entered: __________________________________Email: tschneid22@aol.com
#PosNameUSAV # Coach
Status
Coach
Cert.
RefScoreSSBadgesMbr
Stat
7  Player Dunn, Ryan WE2761150MJ19 Y Y C
9  Player Mages, Jacob WE2822097MJ19 Y C
10  Player Ayers, Andrew WE2889235MJ19 C
11  Player Pytlik, Jacob WE3137684MJ19 Y C
13  Player Siegmann, Colby WE3003382MJ19 Y C
16  Player Tramont, Jonah WE3137807MJ19 Y C
18  Player Mages, Lucas WE2822135MJ19 Y C
21  Player Mayer, Nicholas WE2996036MJ19 Y C
23  Player Andrews, Sean WE2425464MJ19 Y Y C
45  Player Moskaluk, Armand WE3001380MJ19 Y C
75  Player MacKenzie, Marcus WE3191930MJ19 C
 Head Coach Vigrass, Molly WE2315526FR19 Eligible IMPACT Y Y C
 Asst. Coach Steckelberg, Sean WE2549876MR19 Eligible IMPACT Y Y C
 Asst. Coach Cole, David WE2532027MR19 Eligible IMPACT Y C
 Asst. Coach Schneider, Thomas WE1312903MR19 Eligible IMPACT Y Y Y C
 Asst. Coach Kwiatkowski, Matthew WE3141354MR19 Eligible IMPACT Y C
USA Volleyball 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:
  1. The above roster is correct and contains all players who will be participating in the event.All players meet age requirements.
  2. 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.
  3. 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.
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Print NameSignature
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Phone Number (If different from above)Date
 

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