2014 Tennis Roster for BlueCross BlueShield of Texas

City of Richardson
Corporate Challenge

Division A

2014 Tennis 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.

Last Name	First Name	Phone	Email
Captain
Koller	Chizuko	972-766-2191

	Last Name	First Name	Gender	Status	Signature
Men
1	Hicks	Steve	Male	Employee
2	Miller	David	Male	Employee
Women
	Last Name	First Name	Gender	Status	Signature
1	Lam	Li	Female	Spouse
2	Wilson	Rita	Female	Spouse
Mixed
	Last Name	First Name	Gender	Status	Signature
1	Koller	Chizuko	Female	Employee
2	Marasigan	Jimme	Male	Employee
Substitutes
	Last Name	First Name	Gender	Status	Signature
1	Chang	Hong	Female	Employee
2	Junt	Donald	Male	Employee
3	Keith	Debra	Female	Employee
4	Levine	Adam	Male	Employee
5	Navarro	Daniel	Male	Employee
6	Poche	Marjorie	Female	Employee

City of RichardsonCorporate Challenge

Division A

2014 Tennis Roster for BlueCross BlueShield of Texas

City of Richardson
Corporate Challenge