Roseville Senior Softball D League - Warren Hoernemann (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
Boyd, Wayne 11-28-1943 (78) 651-353-4370 (H)
6179 Oak Hollow Lane Lino Lakes, MN 55014 wandmboyd@comcast.net Alexander Ramsey
Emergency contact Name: Mary Boyd Phone: 651-999-9158
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Funkenbusch, Arnie 07-03-1950 (71) 612-297-8469 (C)
1040 Hallam Ave N Mahtomedi, MN 55115 afunkenbusch@msn.com Houghton
Emergency contact Name: Diane Furlong Phone: 651-260-3942
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Hall, Vernon 06-23-1947 (74) 651-210-2179 (H)
2599 Lexington Ave N. Lot 411 Roseville, MN 55113 vernjhall@gmail.com Mounds View
Emergency contact Name: Phone:
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Hoernemann, Warren 09-12-1953 (68) 320-583-2759 (C)
2690 Oxford #246 Roseville, Mn 55113 warnhorndog@yahoo.com Glenco
Emergency contact Name: Theresa Phone: 651-331-8404
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Houle, Gary 07-04-1938 (83) 651-464-6026 (H)
18400 Lexington Ave Wyoming, MN 55092 Connie@linolakeslandscaping.com Forest Lake
Emergency contact Name: Phone:
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Langer, Don 07-11-1953 (68) 763-202-0512 (H)
3845 Woodland Rd Circle Pines, MN 55014 White Bear Lake
Emergency contact Name: Phone:
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Malarkey, Denny 01-04-1943 (78) 763-786-2160 (H)
2137 126Th Ave Nw Coon Rapids, MN 55448 kay-gordon@comcast.net Alexander Ramsey
Emergency contact Name: Jamie Phone: 651-600-8802
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Nusbaum, Philip 04-09-1949 (72) 651-245-1527 (H)
1268 Jefferson Ave St Paul, MN 55105 pnusbaum@bitstream.net Stuyvesant, NY
Emergency contact Name: Phone:
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Olson, Kevin 11-02-1937 (84) 651-484-3265 (H)
2465 Oxford N Roseville, MN 55113 Wilson
Emergency contact Name: Phone:
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Perry, David 11-25-1943 (78) 651-253-0399 (H)
6140 Doffing Av Inver Grove Heights, MN 55076 dave5014@gmail.com Bismark, ND
Emergency contact Name: Phone:
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Robotka, Bob 12-27-1958 (63) 651-253-8189 (C)
4824 Whispering Court Eagen, MN 55122 rnrobotka@gmail.com West Des Moines
Emergency contact Name: Tammy Robotka Phone: 651-270-8289
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Ruecker, Jim 11-27-1946 (75) 651-450-7491 (H)
510 8th Ave S South St Paul, MN 55075 lruecker@msn.com Johnson
Emergency contact Name: Phone:
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Seiple, Timothy 06-02-1961 (60) 763-923-1084 (H)
102 8th Ave S.E. Isanti, MN 55040 timothyseipple@yahoo.com Edison
Emergency contact Name: Phone:
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Shipley, Jim 03-14-1928 (93) 651-489-1048 (H)
1021 Colne St St Paul, MN 55103 Newell, IA
Emergency contact Name: Phone:
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Tschida, Bill 02-27-1944 (77) 651-454-7529 (H) 612-868-7191 (C)
1439 Ponderosa Cr Eagan, MN 55122 wmtschida@gmail.com Cretin
Emergency contact Name: Phone:
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Zwieg, Bill 08-02-1958 (63) 763-213-2936 (C)
1005 Gramsie Road Apt 414 Shoreview, MN 55126 b.zwieg@comcast.net Irondale
Emergency contact Name: Tracey Zwieg Phone: 763-213-2935
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