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City of Richardson
Corporate Challenge

Division C

Richardson city logo

2017 Dominoes Roster for Regus

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
Mapes Pam 214-803-5521

Team 1
  Last Name First Name Gender Status Signature
1 Perez Josafat Male Employee  
2 Scruggs Diamond Female Employee  

Team 2
  Last Name First Name Gender Status Signature
1 James Suzan Female Employee  
2 Williams Wheeler Male Employee  

Substitutes
  Last Name First Name Gender Status Signature
1 Mapes Pam Female Employee  
2 Phillips Bobby Male Spouse  
3 Phillips Branda Female Employee