2013 Billiards Roster for Concentra Inc.

City of Richardson
Corporate Challenge

Division B

2013 Billiards Roster for Concentra Inc.

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.

Last Name	First Name	Phone	Email
Captain
Mistele	Lisa	469.223.3691

	Last Name	First Name	Gender	Status	Signature
Men
1	Weber	Tim	Male	Spouse
2	Wilkes	Bryan	Male	Employee
Women
	Last Name	First Name	Gender	Status	Signature
1	Mistele	Lisa	Female	Employee
2	Sithivong	Nikki	Female	Employee
Mixed
	Last Name	First Name	Gender	Status	Signature
1	Marshall	Terrence	Male	Employee
2	Wreyford	Kristi	Female	Employee
Substitutes
	Last Name	First Name	Gender	Status	Signature
1	Johnson	John	Male	Spouse
2	Johnson	Michelle	Female	Employee
3	Marshall	Terrence	Male	Employee
4	Mistele	Lisa	Female	Employee
5	Polisky	Steven	Male	Employee
6	Simmons	Chris	Male	Spouse
7	Sithivong	Nikki	Female	Employee
8	Weber	Tim	Male	Spouse
9	Wilkes	Bryan	Male	Employee
10	Wreyford	Kristi	Female	Employee

City of RichardsonCorporate Challenge

Division B

2013 Billiards Roster for Concentra Inc.

City of Richardson
Corporate Challenge