Roseville Senior Softball BC League - John Scherek (Team #6) - 3/4/2021

Waiver: I do hereby agree to release the cities of Roseville, Little Canada, Stillwater and Blaine as well as the counties of Anoka, Ramsey and Washington 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
Filipek, Tom 07-25-1963 (58) 612-840-6653 (H)
13555 Freeland Av Hugo, MN 55038 t.filipek@comcast.net Alexander Ramsey
Emergency contact Name: Karen Filipek Phone: 612-816-6462
.
Johnson, Lee 07-16-1946 (75) 612-810-7676 (H)
9244 Neal Ave N. Stillwater, MN 55082 makita100@comcast.net Johnson
Emergency contact Name: Sue Haigh Phone: 651-283-1498
.
Kinsella, Tim 06-13-1954 (67) 605-310-3542 (C)
4023 Hadley Ave N Oakdale, MN 55128 timpk13@q.com Estherville High
Emergency contact Name: Jane Phone: 605-310-3541
.
Koenig, Jim 09-03-1954 (67) 651-343-6326 (C) 651-777-0743 (H)
4167 Goodwin Av Oakdale, jkoenig3m@aol.com Cretin
Emergency contact Name: Burt, Briana Phone: 651-343-6325
.
Lundin, Dave 06-08-1956 (65) 651-395-1451 (H)
3440 Leyland Trail Woodbury, MN djlundin@hotmail.com Johnson
Emergency contact Name: Kathy Lundin Phone: 612-209-5823
.
Rutherford, Mark 04-11-1958 (63) 651-226-4116 (C) 6514831643 (H)
1168 Fernwood Ct Shoreview, MN 55126 ruthe003@umn.edu Wheaton, Ill
Emergency contact Name: Mary Rutherford Phone: 612-414-4176
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Sanny, John 06-14-1954 (67) 651-726-4701 (C)
3506 Nancy pl Shoreview, MN 55126 jd.sanny@gmail.com Johnson
Emergency contact Name: Diane Phone: 651-734-3455
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Satrom, Donn 12-12-1946 (75) 651-483-4810 (H) 651-587-9798 (C)
2459 Matilda Cr Roseville, MN 55113 dlsatrom@comcast.net Grand Forks, ND
Emergency contact Name: Linda Satrom Phone: 651-900-3508
.
Scherek, John 06-27-1950 (71) 651-429-5521 (H) 651-206-2357 (C)
2775 S Riviera Dr White Bear Lake, MN 55110 jscherek627@hotmail.com North St. Paul
Emergency contact Name: Linda Scherek Phone: 651-429-5521
.
Swanson, Wayne 07-12-1956 (65) 651-295-2685 (H)
26 eagle ridge rd north oaks, mn 55127 waynevswanson@hotmail.com Simley
Emergency contact Name: Holly Swanson Phone: 651-295-3363
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Zicopula, Jim 01-24-1949 (72) 651-483-9809 (H)
166 Woodridge Ln Lino Lakes, MN 55014 zposter@aol.com Elmhurst, NY
Emergency contact Name: Chris Phone: 612-597-4705
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