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City of Richardson
Corporate Challenge

Division A

 Richardson city logo

2017 Kickball 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.

Captain
Last Name First Name PhoneEmail
Jeppson Jaime 8016380749

Competitors
  Last Name First Name Gender Status Signature
1 Archer William Male Employee  
2 Cao Hieu Male Employee  
3 Chavez Krysta Female Employee  
4 Dawkins Victoria Female Employee  
5 Gafney Christopher Male Employee  
6 Gillespie Cydney Female Employee  
7 Jeppson Jaime Female Employee  
8 Jeppson Michael Male Spouse  
9 Johnson Daniel Male Employee  
10 Levy Kari Male Employee  
11 Perez Joel Male Employee  
12 Sommarvong Sam Female Employee  
13 Stefanick Callen Male Employee  
14 Thrower Tony Male Employee  
15 Tims Kimberly Female Employee  

Substitutes
  Last Name First Name Gender Status Signature
1 French Edward Male Employee  
2 Hampton Shanita Female Employee  
3 Hernandez Jessica Female Employee  
4 Ho Thuyen Male Employee