Roseville Senior Softball C League - Roger Entinger (Team #5) - 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
Banks, Mike 03-05-1950 (71) 651-644-5974 (H)
1664 Van Buren St Paul, MN 55104 dad5519@gmail.com Ballou, Wash DC
Emergency contact Name: Patty Phone:
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Braun, Loren 10-22-1953 (68) 612-201-5021 (C)
2141 Scott Ave N Golden Valley, MN 55422 lorenbraun@comcast.net Mankato
Emergency contact Name: Barbara Phone: 763-744-6469
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Daniel, Tom 04-05-1939 (82) 763-425-2351 (H)
9380 Lancaster Ln Osseo, MN 55369 St. James, MN
Emergency contact Name: Phone:
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Entinger, Roger 11-11-1953 (68) 763-221-6364 (C)
418 Benton Street Anoka, Mn 55303 renting5301@gmail.com Howard Lake, MN
Emergency contact Name: Julie Phone: 763-227-2116
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Falvey, Dennis 07-17-1954 (67) 651-373-0362 (H)
49 George St E St Paul, MN 55107 dennisf17@icloud.com Highland Park
Emergency contact Name: Phone:
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Hofmeister, Don 11-03-1950 (71) 651-770-5902 (H)
2341 Shoshone Rd North St Paul, MN 55109 mhoffy18@yahoo.com Washington
Emergency contact Name: Phone:
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LeGarde, Jerry 07-27-1954 (67) 651-269-3179 (C)
4399 E Snail Lake Court Shoreview, mn 55126 glegarde@travelers.com Duluth
Emergency contact Name: Cindy LeGarde Phone: 651-325-7200
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Lindahl, Keith 05-12-1954 (67) 612-227-8665 (C)
2994 123rd Circle NE Blaine, MN 55449 keithlindahl55313@yahoo.com St. Charles, IL
Emergency contact Name: Gayle Lindahl Phone: 612-227-6008
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Mens, Terry 05-31-1942 (79) 651-373-9496 (C) 651-373-9488 (C)
2856 Meadowlark Ln Maplewood, MN 55109 terrymens@comcast.net Humboldt
Emergency contact Name: Phone:
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Moriarty, Tom 06-25-1947 (74) 612-386-3681 (H)
8075 Casper Way Inver Grove Heights, MN 55076 tmoriarty65@gmail.com Le Seuer, MN
Emergency contact Name: Phone:
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Persuitti, Larry 02-21-1950 (71) 651-233-3740 (C)
5885 Oxford St. N Shoreview, MN 55126 larry.persuitti@gmail.com Hudson Falls, NY
Emergency contact Name: Phone:
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Schmitt, Ralph 01-02-1944 (77) 763-757-5796 (H)
10743 Fillmore St NE Blaine, MN 55434 schmittv70@gmail.com Kiester, MN
Emergency contact Name: Victoria Phone: 763-757-5796
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Warner, John 05-25-1954 (67) 763-898-2938 (C)
10001 96th Place N Maple Grove , MN 55369 Osseo
Emergency contact Name: Phone:
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