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 | |
|---|---|---|---|---|
| Adkins, Darrell | 68 | 651-341-8663 (C) | ||
| 5979 Turtle Lake Road Shoreview, MN 55126 | dadkins9@comcast.net | Albert Lea, MN | ||
| Emergency contact | Name: Paula Adkins | Phone: 651-341-8662 | ||
| . | ||||
| Allen, Scott | 58 | 651-247-7160 (C) | ||
| 2600 Rosetown Court Roseville, MN 55113 | scott_allen@comcast.net | Hopkins-Lindberg | ||
| Emergency contact | Name: Rose Allen | Phone: 651-238-9942 | ||
| . | ||||
| Anderson, Jerry | 72 | 651-770-8791 (H) | ||
| 3649 Grovner Rd N Oakdale, MN 55128 | andersonjd@comcast.net | Kellogg | ||
| Emergency contact | Name: Joanne | Phone: 651-770-8791 | ||
| . | ||||
| Christiansen, Kim | 68 | 612-263-3798 (C) | ||
| 3396 120th Circle NE Blaine, MN 55449 | kimchristiansen1@gmail.com | New Salem, ND | ||
| Emergency contact | Name: Doris Christiansen | Phone: 701-426-9357 | ||
| . | ||||
| Conniff, Mark | 67 | 651-261-3560 (C) 651-490-1537 (H) | ||
| 2442 Farrington Cir Roseville, Mn 55113 | mdconn3@gmail.com | St Agnes | ||
| Emergency contact | Name: Kate Conniff | Phone: 612-817-0444 | ||
| . | ||||
| Dawkins, Andy | 72 | 612-237-9924 (H) | ||
| 767 University Ave. St. Paul, MN 55104 | andydawkins@outlook.com | LaGrange, Ill | ||
| Emergency contact | Name: Kristin | Phone: 651-307-3496 | ||
| . | ||||
| Koenig, Jim | 68 | 651-343-6326 (C) 651-777-0743 (H) | ||
| 4167 Goodwin Av Oakdale, | jkoenig3m@aol.com | Cretin | ||
| Emergency contact | Name: Burt, Briana | Phone: 651-343-6325 | ||
| . | ||||
| Kroona, Bill | 70 | 651-274-4585 (C) | ||
| 2415 Cohansey St Roseville, | williamkroona@gmail.com | Murray | ||
| Emergency contact | Name: Jodi | Phone: 651-398-7194 | ||
| . | ||||
| Lundberg, Tom | 78 | 612-986-1784 (C) 763-533-1846 (H) | ||
| 3930 46Th Ave N Robbinsdale, MN 55422 | tom-lundberg@comcast.net | Minnehaha Academy | ||
| Emergency contact | Name: Margie | Phone: 612-242-3601 | ||
| . | ||||
| Mason, Rick | 70 | 651-275-1543 (H) 612-710-1755 (C) | ||
| 11120 Lockridge Cr N Grant, MN 55082 | masobzl27@gmail.com | Maplewood, NJ | ||
| Emergency contact | Name: | Phone: | ||
| . | ||||
| Maul, Marlin | 74 | 651-303-5335 (C) | ||
| 3419 Commonwealth Ave. Woodbury, MN 55125 | marlinmaul@msn.com | St. Paul Central | ||
| Emergency contact | Name: Shirley Maul | Phone: 651-303-4457 | ||
| . | ||||
| Osum, Jeff | 64 | 651-325-7026 (H) | ||
| 2851 McKinley Dr Woodbury, MN 55125 | jjak109@gmail.com | Mpls, Roosevelt | ||
| Emergency contact | Name: Justine Osum | Phone: 651-325-7026 | ||
| . | ||||
| VanBeusekom, Rick | 65 | 612-418-2130 (C) | ||
| 5965 Turtle Lake Road Shoreview, MN 55126 | rickvanb50@outlook.com | |||
| Emergency contact | Name: Karen VanBeusekom | Phone: 612-916-7123 | ||
| . | ||||