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City of Richardson
Corporate Challenge

Division AA

Richardson city logo

2017 Dominoes Roster for Health Management Systems

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
Jarratt Nick

Team 1
  Last Name First Name Gender Status Signature
1 Jarratt Nick Male Employee  
2 Wilson J.D. Male Employee  

Team 2
  Last Name First Name Gender Status Signature
1 Cuington Myiesha Female Employee  
2 Hooker Gary Male Employee  

Substitutes
  Last Name First Name Gender Status Signature
1 Jarratt Sharon Female Spouse  
2 Mullins Timothy Male Spouse  
3 Walker Adrian Female Employee