Roseville Senior Softball A League - Roger (Team #3) - 10/30/2020

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
Adamez, Jessie 10-23-1954 (66) 651-774-9148 (H)
1035 suburban ave st.paul, mn 55106 adamez16@aol.com Humboldt
Emergency contact Name: Phone:
.
Carr, Kenn 10-18-1962 (58) 651-274-2691 (H)
139 Greenway Ave N Oakdale, MN 55128 kcarrjr62@gmail.com Harding
Emergency contact Name: Phone:
.
Follmer, Pat 09-03-1954 (66) 651-815-2148 (C)
2005 Edgemont St Maplewood, MN 55117 pfollmer@gmail.com Washington
Emergency contact Name: Phone:
.
Geisbauer, Bill 05-08-1949 (71) 651-303-6816 (C) 651-436-8911 (H)
11013A Oak Grove Cir Woodbury, MN 55129 bsgeisy1010@yahoo.com Johnson
Emergency contact Name: Phone:
.
Jannetto, Jimmy 03-12-1959 (61) 775-385-6451 (C)
8814 Hale Ave. So. Cottage Grove, Mn 55016 Jimmy.Jannetto@email.com Park HS Cottage Grove
Emergency contact Name: Phone:
.
Krugmire, Ed 05-19-1953 (67) 651-245-5566 (C) 651-436-1621 (H)
11 South Croixview Dr Afton, Mn 55001 EdKrugmire@yahoo.com Houston, MN
Emergency contact Name: Phone:
.
Laclair, Ken 09-13-1955 (65) 612-751-5673 (C) 612-426-0658 (H)
1621 Garden Lane White Bear Lake, MN 55110 kjlaclair@msn.com North St. Paul
Emergency contact Name: Phone:
.
Lawrence, Bill 01-01-1951 (69) 651-646-9887 (H)
1109 Churchell St St Paul, MN 55103 North St. Paul
Emergency contact Name: Phone:
.
Miller, Jeff 07-16-1963 (57) 651-895-6379 (C)
PO Box 732 South St Paul, Mn 55075 Jam196369@hotmail.com St. Paul Central
Emergency contact Name: Phone:
.
Morales, Jose 06-27-1967 (53) 651-497-8492 (C)
6301 Crosby Ave E Inver Grove Heights, MN 55076 sleddawg16@msn.com Humboldt
Emergency contact Name: Phone:
.
Palesh, Gary 11-12-1947 (73) 715 386 8313 (H)
760 Hwy 12 E Hudson, WI 54016 gpalesh@yahoo.com Wausau, WI
Emergency contact Name: Phone:
.
Peterson, Mark 12-20-1956 (64) 651-983-8198 (C) 763-786-3087 (H)
3154 120th Ct NE Blaine, MN 55449 mark.peterson.iy4v@statefarm.com Duluth East
Emergency contact Name: Phone:
.
Schmidt, Roger 01-26-1946 (74) 651-242-7665 (C)
633 Liberty Way Vadnais Heights, MN 55127 rmshoes@comcast.net Mechanic Arts
Emergency contact Name: Phone:
.
Shaver, Greg 09-18-1950 (70) 651-210-5147 (C)
1960 Upper 86th St W Inver Grove Heights, MN 55077 marjorie_shaver@yahoo.com Cottage Grove
Emergency contact Name: Phone:
.
Swenson, Douglas 02-01-1948 (72) 651-731-1672 (H) 651-276-0204 (C)
1325 S Century Ave S St Paul, MN 55119 swen1325@netzero.com Bird Island, MN
Emergency contact Name: Phone:
.
Vogelgesans, Jim 04-03-1953 (67) 763-370-7532 (C)
1636 Rose Hill Circle Lauderdale, MN 55108 vogjim@hotmail.com Park Cottage Grove
Emergency contact Name: Phone:
.
Young, Kenny 12-04-1947 (73) 612-309-8710 (C)
1365 Park Dr Orono, Mn 55391 Gix472@msn.com Mpls West
Emergency contact Name: Phone:
.
Zenk, Kevin 01-13-1958 (62) 651-485-3991 (C) 651-778-1686 (H)
723 Eldridge Ave E Maplewood, Mn 55117 Kevin_Zenk@yahoo.com
Emergency contact Name: Phone:
.