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City of Richardson
Corporate Challenge

Division D

Richardson city logo

2016 Dominos Roster for Trintech

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
Sepulveda Kelli

Team 1
  Last Name First Name Gender Status Signature
1 Hale Garrett Male Employee  
2 La Fleur Devin Male Employee  

Team 2
  Last Name First Name Gender Status Signature
1 Caylor Jess Male Employee  
2 Washington Robert Male Employee  

Substitutes
  Last Name First Name Gender Status Signature
1 David Castellano Male Employee  
2 Karen Michlewicz Female Spouse  
3 Monroe Maxine Female Employee  
4 Robert Michlewicz Male Employee  
5 Sepulveda Kelli Female Employee