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 / Age / Address | Phone / Email | Paid / High School | Signature | |
|---|---|---|---|---|
| Bartholomew, Paul | 60 | 651-785-3379 (C) | ||
| , | ||||
| Emergency contact | Name: | Phone: | ||
| . | ||||
| Bennett, Steve | 65 | 612-616-1794 (H) | ||
| 15929 yellow pine st nw andover, MN 55304 | sjbennet@comcast.net | Mpls Patrick Henry | ||
| Emergency contact | Name: | Phone: | ||
| . | ||||
| Benson, Gary | 58 | 651-353-4799 (H) | ||
| 451 Juniper St Mahtomedi, MN 55115 | garybenson@comcast.net | Coon Rapids | ||
| Emergency contact | Name: | Phone: | ||
| . | ||||
| Erickson, Bruce | 64 | 612-382-3209 (C) | ||
| 92180 E Frontage Rd Sturgeon Lake, MN 55783 | berickson21@comcast.net | Blaine | ||
| Emergency contact | Name: Sue Erickson | Phone: 612 384-3435 | ||
| . | ||||
| Gutterman, Philip | 65 | 651-315-4715 (C) | ||
| 1925 E 5TH St Paul, MN 55119 | pgutterman@msn.com | Harding | ||
| Emergency contact | Name: | Phone: | ||
| . | ||||
| Holthus, Brian | 65 | 651-621-9123 (C) 651-494-9984 (H) | ||
| 520 Oak Creek Dr Vadnais Heights, MN 55127 | bkholthus@comcast.net | Hopkins | ||
| Emergency contact | Name: | Phone: | ||
| . | ||||
| Irwin, Randy | 73 | 952-484-6938 (H) | ||
| 1637 Riverwood Drive Burnsville, MN 55337 | randyirwin@msn.com | Mpls West | ||
| Emergency contact | Name: | Phone: | ||
| . | ||||
| Jordan, Steve | 60 | 651-295-8833 (C) 651-335-4747 (H) | ||
| 366 Hall Av St. Paul, MN 55107 | sjjjordan@gmail.com | Highland Park | ||
| Emergency contact | Name: | Phone: | ||
| . | ||||
| Morales, Jose | 55 | 651-497-8492 (C) | ||
| 6301 Crosby Ave E Inver Grove Heights, MN 55076 | sleddawg16@msn.com | Humboldt | ||
| Emergency contact | Name: Lillian Morales | Phone: 651 238-5824 | ||
| . | ||||
| Ojeda, Bernie | 76 | 763-566-3555 (H) | ||
| 7817 Georgia Ave NE Brooklyn Park, MN 55445 | bernard.ojeda@yahoo.com | Brooklyn, NY | ||
| Emergency contact | Name: Susan Ojedi | Phone: 612 518-0617 | ||
| . | ||||
| Reagan, John | 68 | 651-429-4707 (H) 612-226-9164 (C) | ||
| 1625 Mill St White Bear Lake, MN 55110 | reagan.john@comcast.net | White Bear Lake | ||
| Emergency contact | Name: Jan Reagan | Phone: 651 470-2051 | ||
| . | ||||
| Saniti, Mike | 67 | 651-235-1502 (C) | ||
| 2713 Harvester Ave Maplewood, Mn 55119 | Saniti900@gmail.com | White Bear Lake | ||
| Emergency contact | Name: | Phone: | ||
| . | ||||
| Schmidt, Roger | 76 | 651-242-7665 (C) | ||
| 633 Liberty Way Vadnais Heights, MN 55127 | rmshoes@comcast.net | Mechanic Arts | ||
| Emergency contact | Name: | Phone: | ||
| . | ||||
| Schwanz, Rollie | 73 | 612-964-5285 (H) | ||
| 2874 17Th St Nw New Brighton, MN 55112 | rolliespeed@msn.com | Rosemount, MN | ||
| Emergency contact | Name: | Phone: | ||
| . | ||||
| Senst, Bruce | 0 | 651-456-9654 (C) | ||
| , | bruce@bsenst.com | |||
| Emergency contact | Name: | Phone: | ||
| . | ||||