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City of Richardson
Corporate Challenge

Division AA

Richardson city logo

2013 Punt Pass & Kick Roster for City of Richardson

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
Bernhard Brad 214-478-7484

Competitors
  Last Name First Name Gender Status Signature
1 Reim Stefanie Female Employee  
2 Zavala Tara Female Employee  
3 Bernhard Brad Male Employee  
4 Shacklett Chris Male Employee  

Substitutes
  Last Name First Name Gender Status Signature
1 Shacklett Ann Female Spouse  
2 Lozada Jason Male Employee