Roseville Senior Softball B League - Jim Coffman (Team #4) - 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
Berglund, Gary 07-20-1946 (75) 651-361-0619 (C) 651-770-7125 (H)
3539 Emerald Dr White Bear Lake, MN 55110 dgberglund@comcast.net Wilson
Emergency contact Name: Dianne Phone: 651-247-6144
.
Brettner, Jim 01-09-1956 (65) 612-295-2091 (C)
3728 Edgerton St Vadnais Heights, MN 55127 brettnerjim@gmail.com Washington
Emergency contact Name: Jackie Brettner Phone: 715-222-0909
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Coffman, Jim 06-04-1948 (73) 651-207-9266 (C)
1586 N Griggs St St Paul, MN 55108 coffmanjames@hotmail.com Cretin
Emergency contact Name: Karen Phone: 651-214-3371
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Cooper, Dave 01-01-1954 (67) 651-233-0047 (C)
P. O. Box 459 Osceola, WI 54020 jcicooper@msn.com Harding
Emergency contact Name: Phone:
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Fleischer, Paul 12-04-1939 (82) 651-309-7403 (H) 307-286-7180 (C)
1862 W 6th St Red Wing, MN 55066 paulgfleischer@outlook.com Mobridge, SD
Emergency contact Name: Laila Fleischer Phone: 651-309-7403
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Lander, Dan 03-20-1953 (68) 612-839-5751 (H)
1801 Richard Ct. White Bear Lake, MN 55110 dannylander3@gmail.com Harding
Emergency contact Name: Katy Phone: 612-840-8386
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Meyer, Jim 12-02-1949 (72) 612-940-6234 (C)
14003 Jodrell Street Circle Pines, MN 55014 reyem96@aol.com Milwaukee, WI
Emergency contact Name: Phone:
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Nienaber, Zon 08-27-1959 (62) 763-258-9709 (C)
2291 130th Ave Coon Rapids, MN 55448 zonnienaber@comcast.net Coon Rapids
Emergency contact Name: Caren Nienaber Phone: 763-258-7131
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Ridge, John 08-31-1954 (67) 651-895-0566 (C) 651-633-4737 (H)
1454 Eldridge Ave W Roseville, Minnesota 55113 john.ridge1@gmail.com Cretin
Emergency contact Name: Cindy Ridge Phone: 612-508-1498
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Root, Robb 07-16-1946 (75) 651-413-5114 (H)
1620 Oldridge Ave N Stillwater, MN 55082 rootrobb@gmail.com
Emergency contact Name: Phone:
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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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Wagar, Bruce 10-27-1948 (73) 651-646-3390 (H) 651-234-9654 (C)
1643 Maple Knoll Dr Falcon Heights, MN 55113 wagarbe@gmail.com Worthington, MN
Emergency contact Name: Diane Wager Phone: 651-334-8909
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Williams, Tom 10-17-1944 (77) 763-784-0310 (H)
5145 Eastwood Rd New Brighton, MN 55112 tomwilliams44@msn.com Anoka
Emergency contact Name: Phone:
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