Roseville Senior Softball D League - Richard Andert (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
Andert, Richard 06-19-1947 (74) 507-626-6473 (C)
4500 Chicago Av Mpls, MN 55407 richardgandert@gmail.com Currie, MN
Emergency contact Name: Ardia Phone: 507-227-3271
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Coyne, Barry 02-11-1946 (75) 651-646-1040 (H)
1455 Roselawn Ave Roseville, MN 55113 barry.coyne@comcast.net Windsor Park, Canada
Emergency contact Name: Phone:
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Earley, Bruce 12-03-1947 (74) 651-224-8037 (H)
210 W Isabel St Paul, MN 55107 Washington
Emergency contact Name: Phone:
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Elmquist, Ted 07-24-1946 (75) 612-202-6082 (H)
1309 County Rd C2 W Roseville, M 55113 ted.elmquist@gmail.com Alexander Ramsey
Emergency contact Name: Phone:
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Esping, Gary 02-05-1938 (83) 651-730-1072 (C) 651-731-2263 (H)
1558 Glenbeigh Knoll Woodbury, MN 55125 gesping@earthlink.net Litchfield, MN
Emergency contact Name: Phone:
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Filipek, Jerry 05-10-1938 (83) 651-402-6624 (H)
1158 W Shryer Ave Roseville, MN 55113 jefilipek@gmail.com Montgomery, MN
Emergency contact Name: Phone:
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Menikheim, Doug 07-12-1936 (85) 612-382-4929 (C)
527 South Broadway Stillwater, MN 55082 dmenikheim@leadershipfingerprint.com Easton, PA
Emergency contact Name: Mary Louis Menikheim Phone: 612-237-4243
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Ottinger, David 08-15-1948 (73) 612-889-8005 (H) 952-948-1916 (H)
8112 Vincent Av S. Bloomington, MN 55431 davidottinger@yahoo.com Katren, Tenn.
Emergency contact Name: Phone:
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Puzak, Tom 04-15-1940 (81) 763-544-4749 (H)
3940 Wisconsin Ave N New Hope, MN 55427 geezerballtom@gmail.com Nazareth Hall
Emergency contact Name: Phone:
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Swanson, Glenn 01-19-1943 (78) 651-430-2267 (H)
10258 119th St N Stillwater, MN 55082 Harding
Emergency contact Name: Phone:
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Thilgen, Burnell 04-25-1951 (70) 651-337-1850 (H)
10858 Ashley Lane Woodbury, MN 55129 bthilgen@comcast.net Austin, MN
Emergency contact Name: Phone:
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Tichy, Mike 12-08-1942 (79) 941-457-3669 (C)
8330 242nd Lane NE Stacy, MN 55079 miketichy@yahoo.com Minnetonka
Emergency contact Name: Joanne Tichy Phone: 941-457-3211
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Wieneke, Tony 02-06-1949 (72) 651-776-5775 (H) 651-210-0385 (C)
2661 18th Ave E North St. Paul, Mn wieneke@comcast.net Kimball
Emergency contact Name: Phone:
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