Roseville Senior Softball C League - Guy Somers (Team #7) - 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
Agard, Stephen 11-04-1937 (84) 651-303-2956 (C)
1203 Owens St N Stillwater, MN 55082 agard@math.umn.edu Ithaca, NY
Emergency contact Name: Phone:
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Bloom, James 06-03-1945 (76) 651-735-9255 (H)
7177 Windgate Rd Woodbury, M 55125 minnvestor@yahoo.com Glenwood
Emergency contact Name: Phone:
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Christ, Dennis 05-26-1947 (74) 612-718-5302 (H)
10984 228th Scandia, MN 55073 dchristbriggs@aol.com Fall Creek, MN
Emergency contact Name: Phone:
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Collins, Kevin 09-01-1953 (68) 651-303-9912 (H)
765 Parkview Ave St Paul, MN 55117 ktcollins@comcast.net Cottonwood, MN
Emergency contact Name: Phone:
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Dasovic, Greg 04-14-1946 (75) 651-470-6527 (C)
7141 Ballard Trail Inver Grove Heights, MN 55077 daz1946@gmail.com So. St. Paul
Emergency contact Name: Jeanne Phone: 651-470-6527
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Doran, Mike 09-09-1949 (72) 651-238-8192 (C)
588 Hobe Lane White Bear Lake, MN 55110 doranmike888@gmail.com Cretin
Emergency contact Name: Jean Doran Phone: 612-719-8302
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Kalkes, Jim 07-24-1947 (74) 651-283-3450 (H)
15370 Painter La N Stillwater, MN 55082 jhkalkes@gmail.com Monroe
Emergency contact Name: Phone:
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Kowal, Mark 08-25-1949 (72) 612-384-1076 (C)
818 51st Ave NE Columbia Heights, MN 55421 mkowal@ibl-america.com Columbia Heights
Emergency contact Name: Almaz Kowal Phone: 763-772-8644
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Palm, Gary 08-06-1942 (79) 651-636-9084 (H)
166 Windsor Court New Brighton, MN 55112 glespalm@comcast.net Crosby, MN
Emergency contact Name: Eileen Phone: 651-636-9084
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Peterson, Burdette 06-19-1938 (83) 651-484-4227 (H)
2875 Vanderbie St Little Canada, MN 55117 bw866peterson@msn.com Linn Grove, IA
Emergency contact Name: Phone:
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Pitt, Bill 12-04-1955 (66) 641-529-2834 (C) 651-636-9030 (H)
3071 Wheeler St Roseville, MN wgpitt@msn.com
Emergency contact Name: Nancy Pitt Phone: 651-636-9030
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Radloff, Johnny 12-05-1962 (59) 651-515-5163 (C)
2085 HWY 36 E No. St. Paul , 55109 johnnymoe0@gmail.com Ramsey, Roseville West
Emergency contact Name: Phone:
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Somers, Guy 10-26-1946 (75) 651-739-3244 (H)
938 Evar St N Maplewood, MN 55119 glsomers938@gmail.com Mpls Washburn
Emergency contact Name: Phone:
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Vankuyk, Steve 11-19-1949 (72) 651-484-6015 (H)
364 N Owasso Blvd Shoreview, MN 55126 linda.steve@msn.com Aurora-Hoyt Lakes
Emergency contact Name: Phone:
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Visker, Lee 01-01-1942 (79) 623-340-3918 (C)
2210 Midland Grove #110 Roseville, MN 55113 viskersouth1@yahoo.com Ellsworth
Emergency contact Name: Phone:
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