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City of Richardson
Corporate Challenge

Division A

Richardson city logo

2017 Dominoes Roster for State Farm

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
Bynum Daniel

Team 1
  Last Name First Name Gender Status Signature
1 Bynum Daniel Male Employee  
2 Kelly Adriana Female Employee  

Team 2
  Last Name First Name Gender Status Signature
1 Henderson Latoya Female Employee  
2 Littlefield Darcy Female Employee  

Substitutes
  Last Name First Name Gender Status Signature
1 Brennan Denyel Female Employee  
2 Cobin Brandon Male Employee  
3 Jones Quinton Male Employee  
4 Norman Bobby Male Employee  
5 Williams Shira Female Employee