LVC 18 WHITE - Team Roster
Tournament Site: _______________________________________Tournament Date: ___________
Club: LOCKPORT VOLLEYBALL CLUB Team Rep: Thomas Schneider
Team: LVC 18 WHITE6313 Green Valley Ln
Team Code: MJ8LOCKP3WE Lockport, NY  14094
Region Division: Boys' 18's716-310-2781
Event Division Entered: __________________________________Email: tschneid22@aol.com
#PosNameUSAV # Coach
Status
Coach
Cert.
RefScoreSSBadgesMbr
Stat
4  Player Wynne, David WE3067498MJ19 C
5  Player Wikar, Christopher WE2653360MJ19 Y C
7  Player White, Matthew WE2996025MJ19 Y C
8  Player Jackson, Malachi WE3139638MJ19 C
11  Player Becker, Elliot WE2766176MJ19 Y C
13  Player Frain, Thomas WE2526504MJ19 Y Y C
14  Player Converse, Adam WE2805818MJ19 C
21  Player Sausen, MATTHEW WE2879532MJ19 Y C
27  Player Cashdollar, Kevin WE2661341MJ19 Y Y C
99  Player Rogers, zaire WE2892540MJ19 C
 Head Coach Molenda, Matthew WE2307838MR19 Eligible IMPACT Y C
 Asst. Coach Zeiger, James WE2145231MR19 Eligible IMPACT Y C
 Asst. Coach Mon, Shyne WE3134984MR19 Eligible IMPACT Y C
 Asst. Coach Schneider, Thomas WE1312903MR19 Eligible IMPACT Y 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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Phone Number (If different from above)Date
 

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