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City of Richardson
Corporate Challenge
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Division A
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2012 Bass Fishing 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
Sepan Richard 469-682-5803

Team1
  Last Name First Name Gender Status Signature
1 Jensen David Male Employee  
2 Wilson Matt Male Employee  

Team2
  Last Name First Name Gender Status Signature
1 Bleess Chris Male Employee  
2 Musser Gene Male Employee  

Substitutes
  Last Name First Name Gender Status Signature
1 Gutierrez Felix Male Employee  
2 Jones Ryan Male Employee  
3 Lee Tavarious Male Employee  
4 Lodovico Martin Male Employee  
5 Sepan Richard Male Employee