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City of Richardson
Corporate Challenge

Division BB

Richardson city logo

2017 15K Bike Roster for Credit Union 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
Mondragon Laura 2147725857

Competitors wearing chips for timing
  Last Name First Name Chip Gender Status Signature
1 Burns  Patricia Female Employee  
2 Colon  Jacqueline Female Employee  
3 Delacruz Alex Male Spouse  
4 Hernandez Israel Male Employee  
5 Mondragon Laura Female Employee  
6 Mosivais Gerardo Male Employee  
7 Mosivais Gerardo Male Employee  
8 Santiago Michael Male Employee  
9 Swanson  Aaron Male Employee  
10 Whitson  Kerry Female Employee  

Participants NOT wearing chips for timing
  Last Name First Name Chip Gender Status Signature
1 Mondragon Laura   Female Employee  
2 Santiago Michael   Male Employee