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City of Richardson
Corporate Challenge

Division D

Richardson city logo

2017 Dominoes Roster for FM Global

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
Hennig Michael

Team 1
  Last Name First Name Gender Status Signature
1 gill dewayne Male Employee  
2 hennig michael Male Employee  

Team 2
  Last Name First Name Gender Status Signature
1 jigueroa jose Male Employee  
2 patterson doug Male Employee  

Substitutes
  Last Name First Name Gender Status Signature
1 farrell clint Male Employee  
2 garcia art Male Employee