LVC 18 BLACK - Team Roster
Tournament Site: _______________________________________Tournament Date: ___________
Club: LOCKPORT VOLLEYBALL CLUB Team Rep: Thomas Schneider
Team: LVC 18 BLACK6313 Green Valley Ln
Team Code: MJ8LOCKP1WE Lockport, NY  14094
Region Division: Boys' 18's716-310-2781
Event Division Entered: __________________________________Email:
#PosNameUSAV # Coach
1  Player Wiepert, Matthew WE2127533MJ19 Y Y C
2  Player Roy, Joshua WE2750265MJ19 Y Y C
3  Player Janus, Jake WE2455733MJ19 Y C
5  Player Filkov, Tome WE2411357MJ19 Y C
6  Player Gulick, Adam WE2383059MJ19 Y Y C
7  Player Schneider, Zachary WE2260409MJ19 Y Y C
9  Player Wojcinski, Nathan WE2885141MJ19 C
10  Player Naples, Kenneth WE2875697MJ19 C
17  Player Weissert, Joshua WE2662092MJ19 Y Y C
34  Player Leong, Brendan WE2892504MJ19 Y C
44  Player Zhilevich, Nikolas WE2888188MJ19 C
 Head Coach Schneider, Thomas WE1312903MR19 Eligible IMPACT Y Y Y C
 Asst. Coach Crosby, Calvin WE1926455MR19 Eligible IMPACT Y Y C
 Asst. Coach Dempsey, Matthew WE2039294MR19 Eligible IMPACT Y 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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