Roseville Senior Softball B League - Jay Monogue (Team #4) - 7/9/2020

Waiver: I do hereby agree to release the cities of Roseville, Stillwater, and Little Canada and Ramsey County and the Roseville Senior Softball Association, its Officers, Directors, Managers and Players from any liability, claim, injury, or damage of whatever kind or nature resulting from my participation in the game of softball. I further understand that there is always a risk in group activities of contracting viruses or other illnesses and my release is inclusive of such. I give my permission for the rendering of any necessary emergency medical treatment whatsoever which may have to be rendered due to my participation in this activity.

Name / DOB / Address Phone / Email Paid / High School Signature
Brettner, Jim 01-09-1956 (64) 651-434-4198 (H)
3728 Edgerton St Vadnais Heights, MN 55127 Washington
Emergency contact Name: Jackie Brettner Phone: 715-222-0909
.
Broberg, Bob 02-05-1948 (72) 651-785-7943 (C) 651-699-5269 (H)
1240 Colette Pl St Paul, MN 55116 bobbroberg@icloud.com St Agnes
Emergency contact Name: Nancy Broberg Phone: 651-785-7928
.
Burianek, Jeff 02-12-1954 (66) 651-494-8822 (H)
2165 Loyola Drive Woodbury, MN 55125 jeff@jbcorps.com Harding
Emergency contact Name: Joe Burianek Phone: 651-214-3585
.
Collins, Kevin 09-01-1953 (67) 651-303-9912 (H)
765 Parkview Ave St Paul, MN 55117 ktcollins@comcast.net Cottonwood, MN
Emergency contact Name: Phone:
.
Cooper, Dave 01-01-1954 (66) 651-233-0047 (C)
P. O. Box 459 Osceola, WI 54020 jcicooper@msn.com Harding
Emergency contact Name: Phone:
.
Foss, Wade 05-01-1957 (63) 651-779-4261 (H) 651-274-9650 (C)
2699 Gem st. maplewood, MN 55109 whiskeywade57@gmail.com Humboldt
Emergency contact Name: Yolanda Phone: 651-779-4261
.
Holm, Jerry 06-01-1948 (72) 763-381-1859 (H)
6098 Merles Ln NW Anoka, MN 55013 jerryholm@centurylink.net Robbinsdale
Emergency contact Name: Sue Holm Phone: 651-252-5057
.
Kennedy, Bruce 04-27-1952 (68) 651-633-3713 (H)
1416 Skillman Av W Roseville, MN 55113 brucekennedy@brucekennedylaw.com Chicago, Ill
Emergency contact Name: Linda Kennedy Phone: 651-295-3907
.
Monogue, Jay 10-06-1950 (70) 651-341-1614 (C) 651-690-0284 (H)
1286 Julet Av , jmonogue0284@msn.com St Agnes
Emergency contact Name: Steph Monogue Phone: 651-341-1614
.
Noyes, Bruce 11-03-1943 (77) 651-735-0084 (H)
1830 Woodcrest Dr St Paul, MN 55119 brucenoyes@gmail.com Johnson
Emergency contact Name: Phone:
.
Persuitti, Larry 02-21-1950 (70) 651-233-3740 (C)
5885 Oxford St. N Shoreview, MN 55126 larry.persuitti@gmail.com Hudson Falls, NY
Emergency contact Name: Phone:
.
Schauer, Dan 03-30-1953 (67) 651-295-5307 (C) 651-583-2334 (H)
16634 410th St North Branch, MN 55056 danschauer@hotmail.com Harding
Emergency contact Name: Phone:
.
Scherek, John 06-27-1950 (70) 651-429-5521 (H) 651-206-2357 (H)
2775 S Riviera Dr White Bear Lake, MN 55110 jscherek627@hotmail.com North St. Paul
Emergency contact Name: Linda Scherek Phone: 651-429-5521
.
Von DeLinde, Mark 08-12-1951 (69) 763-571-8764 (C)
6481 Arthur St NE Fridley  , MN 55432 mjvondelinde@gmail.com Harding
Emergency contact Name: Maggie Phone: 651-295-1937
.
Wind, Al 01-18-1952 (68) 651-463-6788 (H) 612-296-1406 (C)
177 Hickory Ct Farmington, MN 55024 summer57@frontiernet.net Cretin
Emergency contact Name: Phone:
.