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City of Richardson
Corporate Challenge

Division A

 Richardson city logo

2017 Soccer 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
Quintanilla David 2148866015

Competitors
  Last Name First Name Gender Status Signature
1 Adhikari Sujeet Male Employee  
2 Cortes Karla Female Employee  
3 Famodimu Dare Male Employee  
4 Guerrero Cesar Male Employee  
5 Hagan Matt Male Employee  
6 Lee Andrew Male Employee  
7 Lopez II Nelson Male Employee  
8 Lozano Michael Male Employee  
9 Mainali Ashok Male Employee  
10 Miller David Male Employee  
11 Moktan Surya Male Employee  
12 Obregon Abraham Male Employee  
13 Parker Gareth Male Employee  
14 Quintanilla David Male Employee  
15 Retana Aurelio Male Spouse  
16 Steger Colin Male Employee  
17 Stryk Anthony Male Employee  
18 Wright Joey Male Spouse  

Substitutes
  Last Name First Name Gender Status Signature
1 Block Derek Male Employee  
2 Braley Joe Male Employee  
3 Evans Steve Male Employee  
4 Garstka Dave Male Employee  
5 Jorge Victor Male Employee  
6 Lakmanchuk Gary Male Employee  
7 Mize Matt Male Employee  
8 Mondragon Miguel Male Spouse  
9 Placino Nico Male Employee  
10 Robinson Timothy Male Employee  
11 Ryals Jonathan Male Employee  
12 Selimovic Mirza Male Employee  
13 White Chad Male Employee