Roseville Senior Softball C League - Jeff Decaire (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
Cherry, Walt 02-01-1939 (82) 651-429-1460 (H)
2010 Mahtomedi Ave Mahtomedi, MN 55115 wbcherry56@gmail.com Munising, MI
Emergency contact Name: Phone:
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Decaire, Jeff 11-05-1947 (74) 651-770-5978 (H) 651-769-7027 (C)
2492 Cowern Pl North. St. Paul , MN 55109 jdecaire1@comcast.net Ishpeming, MI
Emergency contact Name: Phone:
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Giel, David 01-24-1945 (76) 651-452-5177 (H)
990 Trillium Ct Eagan, MN 55123 davidgiel@comcast.net Mechanic Arts
Emergency contact Name: Phone:
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Hanson, Tim 08-07-1955 (66) 763-786-9092 (H) 651-231-6268 (H)
8434 Pleasant View Moundsview, MN 55112 tjhanson@comcast.net
Emergency contact Name: Phone:
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Johnson, Arnie 06-07-1939 (82) 651-707-3843 (H)
2663 Virginia Ave Roseville, MN 55113 arniejohnson@live.com Kerhoven, MN
Emergency contact Name: Eileen Vierow Phone: 763-370-9879
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Johnson, Duane 08-29-1944 (77) 651-497-6195 (C)
158 Dunberry Pass Hudson, WI 54016 Humboldt
Emergency contact Name: Marilyn Phone: 715-386-0701
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Johnston, Bo 02-20-1949 (72) 651-503-0104 (H)
300 69th St W Mahtomedi, MN 55115 catcher45@comcast.net Mounds View
Emergency contact Name: Joan Phone: 651-777-5725
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Kiemel, Tim 04-24-1943 (78) 651-436-3323 (H)
15688 15Th St S Afton, MN 55001 Harding
Emergency contact Name: Maureen Ruebel Phone: 612-876-8796
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Lenzmeier, Bob 07-08-1937 (84) 612-209-6334 (C) 763-546-4026 (H)
3830 Linden Drive E Medina, Mn 55340 r.lenzmeier@mchsi.com Wahpeton No. Dakota
Emergency contact Name: Connie Lenzmeier Phone: 763-486-8368
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Mohnk, Richard 03-09-1945 (76) 702-245-5842 (H)
1317 Waters Path Woodbury, MN 55125 richardmohnk@yahoo.com Hastings
Emergency contact Name: Phone:
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Noyes, Bruce 11-03-1943 (78) 651-735-0084 (H)
1830 Woodcrest Dr St Paul, MN 55119 brucenoyes@gmail.com Johnson
Emergency contact Name: Phone:
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Ritter, Dick 03-02-1937 (84) 651-738-9791 (H)
10521 Golden Eagle Tr Woodbury, MN 55129 dick_ritter@yahoo.com Prairie Farm, WI
Emergency contact Name: Phone:
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Sladek, Pam 11-26-1963 (58) 763-464-0659 (H)
7743 Lakeview Lane Spring Lake Park, MN 55432 pmenswolf@msn.com Irondale
Emergency contact Name: Phone:
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Thompson, Lowell 04-11-1939 (82) 651-638-1989 (H)
1112 27Th Ave NW New Brighton, MN 55112 lowelldthompson@gmail.com Stillwater
Emergency contact Name: Phone:
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