Roseville Senior Softball D League - Mike Wolf (Team #6) - 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
Dixon, Robert 01-01-0001 (0) 612-407-4513 (H)
,
Emergency contact Name: Phone:
.
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:
.
Hoffman, Bob 03-29-1938 (83) 651-407-9097 (H)
1890 Birch Lk Ave White Bear Lake, MN 55110 bandgh@hotmail.com Harding
Emergency contact Name: Phone:
.
Nelson, Lyle 10-09-1946 (75) 651-483-6032 (H)
593 Berwood Ave Vadnais Heights, MN 55127 lylenlynn@q.com Askov, MN
Emergency contact Name: Phone:
.
Norris, Bob 07-06-1948 (73) 651-739-0806 (H)
205 Dejon Ct Woodbury, MN 55125 Rochester, NY
Emergency contact Name: Phone:
.
Olson, Bruce 06-08-1940 (81) 763-221-9976 (C)
3201 Thurber Road Brooklyn Center, MN 55429 brucedolson@gmail.com Patrick Henry
Emergency contact Name: Brian Olson Phone:
.
Olson, Darrell 01-21-1948 (73) 763-784-0414 (H)
1805 111th Ave NE Blaine, MN 55434 space86@q.com Patrick Henry
Emergency contact Name: Carol Olson Phone: 763-784-0414
.
Ontiveros, Santos 10-09-1952 (69) 651-387-3552 (H)
1085 Hancock St. St. Paul, MN 55106 Monroe
Emergency contact Name: Phone:
.
Palke, George 02-10-1943 (78) 651-636-2101 (H)
1775 Shorewood Crv Roseville, MN 55113 gpalke@aol.com Richfield
Emergency contact Name: Phone:
.
Peikert, Wally 03-06-1942 (79) 612-529-0670 (H) 763-541-5438 (C)
4249 Newton Ave N Minneapolis, MN 55412 wpeikert@gmail.com Robbinsdale
Emergency contact Name: Phone:
.
Smieja, Mike 01-18-1929 (92) 612-432-5751 (C) 651-488-2027 (H)
1639 Woodbridge St. St Paul, MN 55117 None
Emergency contact Name: Phone:
.
Spindler, Doug 09-07-1939 (82) 651-968-7070 (H)
1216 Marina Dr Amery , WI 54001 marylspindler@gmail.com Eau Claire, WI
Emergency contact Name: Phone:
.
Stauff, Grover 10-13-1941 (80) 763-228-6687 (H)
16512 State Hwy 15 Kimball, MN 55353 gsstauff@gmail.com White Bear Lake
Emergency contact Name: Phone:
.
Terry, David 08-23-1949 (72) 612-246-7318 (C)
1771 Linden Cove White Bear Lake, MN 55110 david82349@msn.com Allen Park High, MI
Emergency contact Name: Wendy Lee Phone: 651-307-8282
.
Wolf, Mike 04-19-1951 (70) 651-489-7503 (H)
2051 Hand Av Roseville, Denbigh, VA
Emergency contact Name: Phone:
.