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City of Richardson
Corporate Challenge
www.quickscores.com/cc
Division A
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2012 15K Bike Roster for Samsung

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 Phone Email
Bent Steven 469-321-5761

Competitors
  Last Name First Name Chip Gender Status Signature
1 Bent Nancy   Female Spouse  
2 Bent  Steven   Male Employee  
3 Hulsey Scott   Male Employee  
4 Lalwani Mohit   Male Employee  
5 Lodovico Martin   Male Employee  
6 WU MATT   Male Employee  
7 Yuhama Julie   Female Spouse  
8 Yuhamma Ray   Male Employee