Roseville Senior Softball CD League - Denny Wallace (Team #5) - 2/27/2020

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 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
Agard, Stephen 11-04-1937 (83) 651-303-2956 (C)
1203 Owens St N Stillwater, MN 55082 agard@math.umn.edu Ithaca, NY
Emergency contact Name: Phone:
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Cherry, Walt 02-01-1939 (81) 651-429-1460 (H)
2010 Mahtomedi Ave Mahtomedi, MN 55115 wbcherry56@gmail.com Munising, MI
Emergency contact Name: Phone:
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Christ, Arlyn 04-14-1945 (75) 651-303-7995 (H)
417 S Martha St Stillwater, MN 55082 arlynchrist@gmail.com Fall Creek, MN
Emergency contact Name: Phone:
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Houle, Gary 07-04-1938 (82) 651-464-6026 (H)
18400 Lexington Ave Wyoming, MN 55092 Connie@linolakeslandscaping.com Forest Lake
Emergency contact Name: Phone:
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Johnson, Jack 04-26-1946 (74) 651-983-5114 (H)
N 6123 650Th St Beldenville, WI 54003 jackdiane14@yahoo.com Prescott, WI
Emergency contact Name: Diane Johnson Phone: 651-210-2226
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Lutz, Dave 08-28-1954 (66) 651-353-2726 (H)
10271 - 119th St. N Stillwater, MN 55082 djlutz82854@yahoo.com Stillwater
Emergency contact Name: Phone:
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Miller, Bob 12-27-1939 (81) 651-430-8186 (H)
3673 Tending Green Stillwater, MN 55082 Johnson
Emergency contact Name: Phone:
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Miller, Sam 02-28-1943 (77) 651-439-1814 (H)
14809 49Th St N Stillwater, MN 55082 bettiesam@yahoo.com Elbow Lake
Emergency contact Name: Phone:
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Nelson, Wayne 06-17-1947 (73) 651-246-4850 (H)
1995 Duluth St Maplewood, MN 55109 wnelson1995@gmail.com Johnson
Emergency contact Name: Phone:
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Schad, Mike 04-02-1957 (63) 651-983-1174 (H)
977 Lydia ave w. Roseville, MN 55113 mikeschad57@gmail.com Lake City, MN
Emergency contact Name: Dianu Zimmerman Phone: 651-253-7776
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Stoerzinger, Jerry 04-19-1945 (75) 651-770-2530 (H)
7689 64th St Pine Springs, MN 55115 jerry.stoerzinger@hotmail.com Johnson
Emergency contact Name: Phone:
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Swanson, Glenn 01-19-1943 (77) 651-430-2267 (H)
10258 119th St N Stillwater, MN 55082 Harding
Emergency contact Name: Phone:
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Venberg, Richard 01-16-1954 (66) 612-325-2154 (H)
1101 - 15th Ave SE Minneapoilis, MN 55414 richardvenberg@me.com Newton Square, PA
Emergency contact Name: Lynn Baete Phone: 612-817-7524
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Wallace, Denny 01-01-1943 (77) 612-282-8880 (H)
1223 Birch Pond White Bear Lake, MN 55110 dennyrwallace@comcast.net Johnson
Emergency contact Name: Phone:
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