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City of Richardson
Corporate Challenge

Division A

Richardson city logo

2014 Golf Roster for BlueCross BlueShield of Texas

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
Barnard Stace 972-664-5446

Team 1
  Last Name First Name Gender Status Lunch Signature
1 Barrett Jeff Male Employee    
2 Shively Kevin Male Employee    
3 Smith Trey Male Employee    
4 Stevens Emma Female Employee    

Team 2
  Last Name First Name Gender Status Lunch Signature
1 Barnard Stace Male Employee    
2 Lucas John Male Employee    
3 Stoddard Brenda Female Employee    
4 Winseltt Scott Male Employee    

Substitutes
  Last Name First Name Gender Status Lunch Signature
1 Dozier Johnny Male Employee    
2 Perez Joel Male Employee    
3 Zimmerman Jennifer Female Employee