Roseville Senior Softball B League - Mike Berg (Team #1) - 5/9/2021

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
Abrahamsen, Mitch 11-27-1961 (60) 479-220-8771 (H)
3005 - 4057th St Harris, , MN 55032 mitchabrahamsen@gmail.com Sibley
Emergency contact Name: Phone: 612-310-4017
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Berg, Mike 11-27-1951 (70) 651-271-6101 (C) 651-429-7265 (H)
4381 Evergreen Drive Vadnais Heights, MN 55127 mikelpberg@gmail.com Edgar, WI
Emergency contact Name: Beth Berg Phone: 651-261-1380
.
Burianek, Jeff 02-12-1954 (67) 651-494-8822 (H)
2165 Loyola Drive Woodbury, MN 55125 jeff@jbcorps.com Harding
Emergency contact Name: Joe Burianek Phone: 651-214-3585
.
Craft, Dan 05-02-1952 (69) 612-578-4643 (H)
2071 Bridle Ct. Hudson, WI 54016 dscottcraft@yahoo.com Johnson
Emergency contact Name: Marilu Craft Phone: 262-893-3552
.
Erickson, Tim 05-31-1948 (73) 928-246-4510 (C)
6457 Ojibway Path, Lino Lakes, MN 55014 timothy.erickson@metrostate.edu Hill-Murray
Emergency contact Name: Sherry Bakken Phone: 715-520-0863
.
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
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Meyer, Bill 06-23-1945 (76) 612-209-8288 (H)
174 Oakview Rd West St. Paul, MN 55118 gt37@msn.com Mpls Patrick Henry
Emergency contact Name: Phone:
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Mumbleau, Dick 01-27-1947 (74) 651-210-3754 (C)
1829 Voyager Ct Centerville, , MN 55038 mumbl001@gmail.com Columbia Heights
Emergency contact Name: Jane Phone: 651-336-0038
.
Osum, Jeff 04-21-1958 (63) 651-325-7026 (H)
2851 McKinley Dr Woodbury, MN 55125 jjak109@gmail.com Mpls, Roosevelt
Emergency contact Name: Justine Osum Phone: 651-325-7026
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Rowan, Pete 10-21-1951 (70) 651-361-0650 (H)
6106 150th St N Hugo, MN 55038 peterowan@q.com Hill-Murray
Emergency contact Name: Phone:
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Starr, Bryan 03-11-1953 (68) 612-916-9788 (C)
7778 Woodlawn Dr. Mounds View, MN 55112 bgstarr@comcast.net Chisago Lakes
Emergency contact Name: Phone:
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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
.
Wieman, Ben 03-01-1955 (66) 651-340-1219 (H)
1302 Folsom St. St. Paul, MN 55117 splatter96@hotmail.com Mounds View
Emergency contact Name: Phone:
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