Roseville Senior Softball A League - Bart (Team #1) - 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
Barker, Gene 06-18-1956 (64) 612-819-7169 (H)
218 - 69th NE Fridley,, MN 55432 genebarker56@yahoo.com Moorhead, MN
Emergency contact Name: Phone:
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Bartholomew, Dennis 10-27-1950 (70) 651-353-1037 (H)
2050 N Margaret N St Paul, MN 55109 tcbcbart@msn.com North St. Paul
Emergency contact Name: Phone:
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Bennett, Gary 11-18-1951 (69) 612-747-9315 (H)
25596 Forest Blv Lane Wyoming, MN 55092 gdbennett@frontiernet.net Slayton, MN
Emergency contact Name: Phone:
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Benson, Gary 06-14-1964 (56) 651-353-4799 (H)
451 Juniper St Mahtomedi, MN 55115 garybenson@comcast.net Coon Rapids
Emergency contact Name: Phone:
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Ebert, Bob 07-22-1947 (73) 651-226-5177 (H)
289 Capitol View Roseville, MN 55113 ebertrj@gmail.com Alexander Ramsey
Emergency contact Name: Phone:
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Gutterman, Philip 09-07-1957 (63) 651-738-3999 (H)
1925 E 5TH St Paul, MN 55119 pgutterman@msn.com Harding
Emergency contact Name: Phone:
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Irwin, Randy 03-07-1949 (71) 952-484-6938 (H)
1637 Riverwood Drive Burnsville, MN 55337 randyirwin@msn.com Mpls West
Emergency contact Name: Phone:
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Knapp, Dennis 01-01-0001 (0) 952-484-6938 (H)
,
Emergency contact Name: Phone:
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Larsen, Ted 01-01-0001 (0) 952-484-6938 (H)
,
Emergency contact Name: Phone:
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Liedholm, Dave 04-21-1949 (71) 651-490-5257 (H)
2265 Marion St Roseville, MN 55113 dliedholm21@gmail.com Alexander Ramsey
Emergency contact Name: Phone:
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Pease, Steve 03-06-1953 (67) 612-414-4810 (H)
357 bear ave s vadnais hghts, MN 55127 ssoftball66@aol.com Irondale
Emergency contact Name: Phone:
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Reagan, John 04-20-1954 (66) 651-429-4707 (H)
1625 Mill St White Bear Lake, MN 55110 reagan.john@comcast.net White Bear Lake
Emergency contact Name: Phone:
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Schwanz, Rollie 05-01-1949 (71) 612-964-5285 (H)
2874 17Th St Nw New Brighton, MN 55112 rolliespeed@msn.com Rosemount, MN
Emergency contact Name: Phone:
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Trapp, Al 04-16-1958 (62) 763-360-0750 (C)
2112 102nd Ave NW Coon Rapids, Mn 55433 trappfam4321@aol.com
Emergency contact Name: Phone:
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Zabadal, George 05-27-1961 (59) 612-749-0408 (H)
2517 Cedar Ave White Bear Lake, MN 55110 franchise14@comcast.net Johnson City, NY
Emergency contact Name: Phone:
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