USA Volleyball - Webpoint

LVC 17 BLACK - Team Roster
Tournament Site: _______________________________________	Tournament Date: ___________
Club: LOCKPORT VOLLEYBALL CLUB	Team Rep: Thomas Schneider
Team: LVC 17 BLACK	6313 Green Valley Ln
Team Code: MJ7LOCKP1WE	Lockport, NY 14094
Region Division: Boys' 17'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

Wiepert, Matthew

WE2127533MJ18

Y

Y

C

3

WE2277908MJ18

Y

Y

C

6

WE2383059MJ18

Y

Y

C

7

Schneider, Zachary

WE2260409MJ18

Y

Y

C

8

WE2549727MJ18

Y

C

10

White, Tivon White

WE2908274MJ18

C

11

Donnelly, Matthew

WE2514961MJ18

Y

Y

C

12

Miller, Jonathan

WE2555051MJ18

Y

Y

C

13

Denniston, Sean

WE1920329MJ18

Y

Y

C

17

WE2526504MJ18

Y

Y

C

21

WE2554214MJ18

C

34

WE2892504MJ18

Y

C

Smorol, Elizabeth

WE1109860FR18

Eligible

IMPACT

Y

Y

C

Schneider, Thomas

WE1312903MR18

Eligible

IMPACT

Y

Y

Y

C

WE2558489MR18

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