Roseville Senior Softball C League - Jeff Decaire (Team #4) - 8/4/2020

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
Clos, Terry 04-15-1954 (66) 651-489-5794 (H)
1829 Agate St Maplewood, MN 55117 St. Paul Central
Emergency contact Name: Phone:
.
Decaire, Jeff 11-05-1947 (73) 651-770-5978 (H) 651-769-7027 (C)
2492 Cowern Pl North. St. Paul , MN 55109 jdecaire1@comcast.net Ishpeming, MI
Emergency contact Name: Phone:
.
Duncan, Jim 08-05-1941 (79) 651-429-5278 (H)
4891 Bald Eagle Ave White Bear Lake, MN 55110 jamesduncan045@gmail.com Murray
Emergency contact Name: Phone:
.
Johnson, Duane 08-29-1944 (76) 651-497-6195 (C)
158 Dunberry Pass Hudson, WI 54016 Humboldt
Emergency contact Name: Marilyn Phone: 715-386-0701
.
Johnston, Bo 02-20-1949 (71) 651-503-0104 (H)
300 69th St W Mahtomedi, MN 55115 catcher45@comcast.net Mounds View
Emergency contact Name: Joan Phone: 651-777-5725
.
Mens, Terry 05-31-1942 (78) 651-373-9496 (C) 651-373-9488 (C)
2856 Meadowlark Ln Maplewood, MN 55109 terrymens@comcast.net Humboldt
Emergency contact Name: Phone:
.
Miller, Tim 01-24-1957 (63) 651-450-1214 (H) 651-253-8207 (C)
105 W Frost Street So. St. Paul, Mn 55075 Timothy.r.miller.sr@gmail.com St. Bernards
Emergency contact Name: Rose Miller Phone: 651-450-1214
.
Sladek, Pam 11-26-1963 (57) 763-464-0659 (H)
7743 Lakeview Lane Spring Lake Park, MN 55432 pmenswolf@msn.com Irondale
Emergency contact Name: Phone:
.
Smallman, Warren 11-06-1950 (70) 651-307-4555 (C) 651-698-5639 (H)
1926 worchester Av St. Paul, mwsmallman70@gmail.com Monroe
Emergency contact Name: Mary Phone: 651-698-5639
.
Sundmark, Dave 10-15-1950 (70) 651-735-0386 (H) 651-261-4440 (C)
2206 Marillac Ln St Paul, MN 55119 djsundmark@comcast.net Harding
Emergency contact Name: Lynn Sundmark Phone: 651-735-0386
.
Thompson, Lowell 04-11-1939 (81) 651-638-1989 (H)
1112 27Th Ave NW New Brighton, MN 55112 lowelldthompson@gmail.com Stillwater
Emergency contact Name: Phone:
.
Zeron, Steve 06-30-1953 (67) 302-528-6416 (C)
271 Winona Street E St. Paul, mn 55107 zeronse@gmail.com Newark, DE
Emergency contact Name: Denise Phone: 302-528-6415
.