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 | |
|---|---|---|---|---|
| Abrahamsen, Mitch | 61 | 479-220-8771 (H) | ||
| 3005 - 4057th St Harris, , MN 55032 | mitchabrahamsen@gmail.com | Sibley | ||
| Emergency contact | Name: Cam Abrahamsen | Phone: 612-310-4017 | ||
| . | ||||
| Burianek, Jeff | 68 | 651-494-8822 (H) | ||
| 2165 Loyola Drive Woodbury, MN 55125 | jeff@jbcorps.com | Harding | ||
| Emergency contact | Name: Joe Burianek | Phone: 651-214-3585 | ||
| . | ||||
| Cardinal, Al | 76 | 651-246-9075 (C) 651-484-9156 (H) | ||
| 334 Oak Ridge Dr Vadnais Heights, MN 55127 | abcardinal46@gmail.com | Alexander Ramsey | ||
| Emergency contact | Name: | Phone: | ||
| . | ||||
| Cardinal, Chris | 68 | 651-332-9244 (H) 651-332-9244 (C) | ||
| 2755 Lakeside Ctl Little Canada, MN | 3c2755@gmail.com | Kellogg | ||
| Emergency contact | Name: Katie Cardinal | Phone: 651-482-0644 | ||
| . | ||||
| Fletcher, Mike | 71 | 651-890-6511 (C) | ||
| 5398 Centerville Rd. White Bear Lake, MN 55127 | mfletch0204@hotmail.com | White Bear Lake | ||
| Emergency contact | Name: Rebecca Olson | Phone: 651-303-8297 | ||
| . | ||||
| Johnson, Lee | 76 | 612-810-7676 (C) | ||
| 9244 Neal Ave N. Stillwater, MN 55082 | makita100@comcast.net | Johnson | ||
| Emergency contact | Name: Sue Haigh | Phone: 651-283-1498 | ||
| . | ||||
| Molitor, Brian | 65 | 651-399-8137 (H) | ||
| 6800 Orchard Ridge Trail Woodbury, MN 55129 | briankandpama@comcast.net | Hill-Murray | ||
| Emergency contact | Name: Pamela Molitor | Phone: 651-724-7076 | ||
| . | ||||
| Stiernagle, Bryan | 60 | 763-549-5751 (H) | ||
| 8219 Sheridan Ave N Brooklyn Park, MN 55444 | bcstiernagle@comcast.net | Owatonna, MN | ||
| Emergency contact | Name: | Phone: | ||
| . | ||||
| Stiernagle, Todd | 58 | 651-338-0033 (C) | ||
| 1654 Stanbridge Roseville, MN 55113 | trs_cpa@yahoo.com | |||
| Emergency contact | Name: Theresa Stiernagle | Phone: 651-398-2602 | ||
| . | ||||
| Thole, Howie | 72 | 612-719-3608 (C) 651-783-8229 (H) | ||
| 1275 W. Royal Oaks Dr. Shoreview, MN 55126 | ghthole@comcast.net | St Agnes | ||
| Emergency contact | Name: Mary | Phone: 651-398-5876 | ||
| . | ||||
| Tingelstad, Dale | 64 | 612-618-2026 (C) | ||
| 19013 Gladstone Blvd Maple Grove, MN 55311 | dale.tingelstad@comcast.net | Monticello | ||
| Emergency contact | Name: Kay Tingelstad | Phone: 612-618-5394 | ||
| . | ||||
| Wieman, Ben | 67 | 651-340-1219 (H) | ||
| 1302 Folsom St. St. Paul, MN 55117 | splatter96@hotmail.com | Mounds View | ||
| Emergency contact | Name: | Phone: | ||
| . | ||||
| Zustiak, John | 72 | 651-426-7722 (H) 651-353-1370 (C) | ||
| 1015 Horizon St. Vadnais Heights, MN 55427 | yankoz55@gmail.com | Mpls Vocational | ||
| Emergency contact | Name: Sue | Phone: 651-353-1370 | ||
| . | ||||