LVC 16 BLACK - Team Roster
Tournament Site: _______________________________________	Tournament Date: ___________
Club: LOCKPORT VOLLEYBALL CLUB	Team Rep: Thomas Schneider
Team: LVC 16 BLACK	6313 Green Valley Ln
Team Code: MJ6LOCKP1WE	Lockport, NY  14094
Region Division: Boys' 16's	716-310-2781
Event Division Entered: __________________________________	Email: tschneid22@aol.com

#	Pos	Name	USAV #	Coach Status	Coach Cert.	Ref	Score	SS	Badges	Mbr Stat
2	Player	Roy, Joshua	WE2750265MJ18			Y	Y			C
3	Player	Ratzel, Andrew	WE2418479MJ18				Y			C
4	Player	Shickluna, Brett	WE2888211MJ18				Y			C
5	Player	Wikar, Christopher	WE2653360MJ18				Y			C
7	Player	Wieberg, William	WE2889015MJ18							C
8	Player	Nicometo, Joseph	WE2656094MJ18							C
9	Player	Wojcinski, Nathan	WE2885141MJ18							C
10	Player	Naples, Kenneth	WE2875697MJ18							C
11	Player	Ciraolo, Zachary	WE2886023MJ18							C
15	Player	Gugino, Jack	WE2742407MJ18							C
17	Player	Weissert, Joshua	WE2662092MJ18			Y	Y			C
22	Player	Cramer, Zachary	WE2888854MJ18							C
	Head Coach	Schneider, Nathan	WE1312890MR18	Eligible	IMPACT	Y		Y		C
	Asst. Coach	Wadhams, Ben	WE2716285MR18	Eligible	IMPACT			Y		C
	Asst. Coach	Schneider, Thomas	WE1312903MR18	Eligible	IMPACT	Y	Y	Y		C
	Asst. Coach	Welsh, Tyler	WE3001388MR18	Eligible	IMPACT	Y		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 completed copy 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 the participants attending the event, regardless of who signs this verification. ____________________________________________ ________________________________________________ Print Name Signature ____________________________________________ ________________________________________________ Phone Number (If different from above) Date