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City of Richardson
Corporate Challenge

Division C

Richardson city logo

2014 Dominos Roster for Maxim Integrated

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
Dockendorf William 972-371-6886

Team 1
  Last Name First Name Gender Status Signature
1 Dockendorf William Male Employee  
2 Kongs Jeremy Male Employee  

Team 2
  Last Name First Name Gender Status Signature
1 Gillespie Kevin Male Employee  
2 Smith Lorne Male Employee  

Substitutes
  Last Name First Name Gender Status Signature
1 Armstrong Bryan Male Employee  
2 Desai Dipak Male Employee  
3 Kongs Denise Female Spouse  
4 Smith Kelly Female Spouse