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City of Richardson
Corporate Challenge

Division D

Richardson city logo

2017 Billiards Roster for Vpay

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
McCarsky Mitchell 706-270-4316

Men
  Last Name First Name Gender Status Signature
1 Adams Brad Male Employee  
2 Bednarz Bill Male Spouse  

Women
  Last Name First Name Gender Status Signature
1 Bednarz Joy Female Employee  
2 Edwards Aline Female Employee  

Mixed
  Last Name First Name Gender Status Signature
1 Cook Kristy Female Employee  
2 Karstens CW Male Employee  

Substitutes
  Last Name First Name Gender Status Signature
1 Cothern Denise Female Employee  
2 Derricks Jackie Male Employee  
3 McCarsky Mitchell Male Employee