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City of Richardson
Corporate Challenge

Division BB

Richardson city logo

2017 Golf Roster for Service King

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
Baros Jeremiah 817-283-0636

Team 1
  Last Name First Name Gender Status Lunch Signature
1 Gilbert Jeremiah Male Employee    
2 Hauslein Cathy Female Employee    

Team 2
  Last Name First Name Gender Status Lunch Signature
1 Baros Jeremiah Male Employee    
2 Kim Steve Male Employee    

Substitutes
  Last Name First Name Gender Status Lunch Signature
1 Regalado Oscar Male Employee    
2 Ruth Rob Male Employee