Roseville Senior Softball C League - Jack Butler (Team #2) - 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
Butler, Jack 10-23-1948 (73) 651-269-6629 (H) 651-481-0025 (H)
22400 Evergreen Circle Forest Lake, MN 55025 leslieandjack@msn.com Marian-Hometown, PA
Emergency contact Name: Leslie Phone: 651-260-3464
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Cooper, Ken 11-14-1944 (77) 651-233-6451 (C) 651-484-8390 (H)
4826 Hanson Road Shoreview, MN 55126 kecooper123@aol.com Chicago, Ill
Emergency contact Name: Phone:
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Dufrene, Dick 08-05-1958 (63) 651-769-3660 (C)
4040 McMenemy St Vadnais Heights, MN 55127 dickandsandy@q.com St Bernards
Emergency contact Name: Sandy Dufrene Phone: 651-238-7068
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Funk, Galen 11-27-1949 (72) 612-990-6663 (H)
4888 210th St N Forest Lake, MN 55025 galenfunk@gmail.com Cretin
Emergency contact Name: Phone:
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Hanson, Richard 12-01-1944 (77) 651-303-5855 (H)
2084 Desoto St Maplewood, MN 55117 rchans1@comcast.net Cumberland, WI
Emergency contact Name: Phone:
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Harvey, Bob 06-25-1942 (79) 651-765-0577 (H)
474 N Owasso Blvd Shoreview, MN 55126 bob.harvey@msn.com Des Moines, IA
Emergency contact Name: Geri Scherr Phone: 612-418-0172
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Mills, Art 06-23-1950 (71) 651-738-0341 (H)
2332 Kings Circle Woodbury, MN 55125 afmills@comcast.net Harding
Emergency contact Name: Robin Phone:
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Ogden, Kerm 08-11-1941 (80) 651-487-4916 (H)
1270 Larpenteur Ave W Apt 301 St Paul, MN 55113 kermdog123@yahoo.com Mechanic Arts
Emergency contact Name: Phone:
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Prahl, Les 03-05-1947 (74) 651-252-7572 (C) 651-779-4326 (H)
1571 Mary St. North Maplewood, MN 55119 jlprahl@gmail.com LeSueur
Emergency contact Name: Julie Prahl Phone: 651-253-4037
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Rice, Lou 01-01-1951 (70) 602-369-0379 (C)
4209 Lexington Ave N Shoreview, MN 55126 azseclrice@gmail.com Harding
Emergency contact Name: Phone:
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Smallman, Warren 11-06-1950 (71) 651-307-4555 (C) 651-698-5639 (H)
1926 worchester Av St. Paul, mwsmallman70@gmail.com Monroe
Emergency contact Name: Mary Phone: 651-698-5639
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Smith, Dale 06-05-1957 (64) 651-245-6774 (C)
7327 Timber Crest Drive S Cottage Grove, MN 55016 ssp55075@gmail.com South St. Paul
Emergency contact Name: Sherry Wenning Phone: 612-817-0513
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Tierney, Bill 07-06-1954 (67) 612-747-0760 (C)
11110 57th Ave N Plymouth, MN 55442 salestierney@gmail.com Mpls Washburn
Emergency contact Name: Nancy Tierney Phone: 651-208-8061
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