Roseville Senior Softball A League - Phil Gutterman (Team #4) - 10/26/2021

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
Adamez, Jessie 10-23-1954 (67) 651-774-9148 (H)
1035 suburban ave st.paul, mn 55106 adamez16@aol.com Humboldt
Emergency contact Name: Phone:
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Barker, Gene 06-18-1956 (65) 612-819-7169 (H)
218 - 69th NE Fridley,, MN 55432 genebarker56@yahoo.com Moorhead, MN
Emergency contact Name: Phone:
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Brown, Ray 11-25-1948 (73) 651-492-0793 (H) 651-343-2443 (C)
15914 Finley Ave N Hugo, MN 55038 raybrown.mn@gmail.com Alexander Ramsey
Emergency contact Name: Phone:
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Burdick, Gene 02-25-1948 (73) 763-688-0361 (H)
6640 Hickory St N E Fridley, MN 55432 burdick.gene@yahoo.com Fridley
Emergency contact Name: Phone:
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Cooper, Daryl 12-11-1950 (71) 612-227-3276 (H)
W 11250 840Th Ave River Falls, WI 54022 drdcooper@gmail.com Burnsville
Emergency contact Name: Phone:
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Fitzenberger, Mike 06-23-1952 (69) 612-246-5383 (C) 715-472-8958 (H)
2251 A East 60th Luck, WI mrfitz2352@gmail.com Richfield
Emergency contact Name: Phone:
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Gutterman, Philip 09-07-1957 (64) 651-315-4715 (C)
1925 E 5TH St Paul, MN 55119 pgutterman@msn.com Harding
Emergency contact Name: Phone:
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Hagan, Randy 01-01-0001 (0) 619-251-5138 (C)
, Magsdad01@yahoo.com
Emergency contact Name: Phone:
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Irwin, Randy 03-07-1949 (72) 952-484-6938 (H)
1637 Riverwood Drive Burnsville, MN 55337 randyirwin@msn.com Mpls West
Emergency contact Name: Phone:
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Jannetto, Jimmy 03-12-1959 (62) 775-385-6451 (C)
8814 Hale Ave. So. Cottage Grove, Mn 55016 Jimmy.Jannetto@email.com Park HS Cottage Grove
Emergency contact Name: Phone:
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Paulson, Larry 04-28-1960 (61) 612-325-0461 (H)
6349 Oakland Rd Woodbury, Mn 55125 lulubuck@comcast.net Babbitt
Emergency contact Name: Phone:
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Schletty, Steve 08-11-1951 (70) 651-492-7330 (H)
1256-Bridle Path Ct White Bear Lake, MN 55110 saschletty@msn.com Hill-Murray
Emergency contact Name: Phone:
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Shaver, Greg 09-18-1950 (71) 651-210-5147 (C)
1960 Upper 86th St W Inver Grove Heights, MN 55077 marjorie_shaver@yahoo.com Cottage Grove
Emergency contact Name: Phone:
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Spindell, Adam 03-11-1960 (61) 651-238-8395 (H)
328 edith dr west st. paul, MN 55118 adamspindell@msn.com Baldwin, NY
Emergency contact Name: Phone:
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Tarasewicz, Don 07-03-1954 (67) 651-261-1184 (C) 651-459-5560 (H)
8254 Grange Blvd Cottage Grove , Mn 55016 dtarasew@comcast.net Ashland HS; WI
Emergency contact Name: Phone:
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Thompson, Gene 04-23-1946 (75) 651-489-3081 (C)
914 Como Ave St. Paul, MN 55103 genethompson3@hotmail.com Mechanic Arts
Emergency contact Name: Phone:
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Thompson, Jeff 07-07-1968 (53) 612-840-2485 (C)
10787 Scott Ave N Brooklyn Park, MN 55443 jeffreym44@gmail.com Como Park
Emergency contact Name: Phone:
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