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City of Richardson
Corporate Challenge

Division B

Richardson city logo

2014 Billiards Roster for Beck Group

The undersigned participants release the City of Richardson, Texas, (it's officers, agents and employees) from any injuries or damages sustained as the result of the participation in Corporate Challenge. By the signature below the undersigned participants acknowledges that the undersigned has read and understands the Corporate Challenge rules and agrees to abide by them.

Captain
Last Name First Name PhoneEmail
Nguyen Thomas 316-213-6544

Men
  Last Name First Name Gender Status Signature
1 Harris Brad Male Employee  
2 Hernandez Derick Male Employee  

Women
  Last Name First Name Gender Status Signature
1 Jarrett Krystal Female Employee  
2 Trusty Tori Female Employee  

Mixed
  Last Name First Name Gender Status Signature
1 Giles Mandi Female Employee  
2 Keith Austin Male Employee  

Substitutes
  Last Name First Name Gender Status Signature
1 Chainaronont Shella Male Employee  
2 Nguyen Thomas Male Employee  
3 Schmidt Ronald Male Employee