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City of Richardson
Corporate Challenge

Division A

Richardson city logo

2022 15K Bike Roster for Blue Cross Blue Shield

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
Cavett Brian 972-997-5199

Competitors wearing chips for timing
  Last Name First Name Chip Gender Status Signature
1 Alawsi  Ahmed Male Employee checkmark Signed Waiver Online
2 Ali Qasim Male Employee checkmark Signed Waiver Online
3 Boeding  Steve Male Retiree checkmark Signed Waiver Online
4 Chernov  Allan Male Retiree checkmark Signed Waiver Online
5 Coates Allyn Male Employee checkmark Signed Waiver Online
6 Conley Ellen Female Employee  
7 Francis Karsten Female Employee checkmark Signed Waiver Online
8 Gabaut  Allison Female Employee checkmark Signed Waiver Online
9 Kersemakers  Daisy Female Employee checkmark Signed Waiver Online
10 Levy  Kari Female Employee checkmark Signed Waiver Online
11 Nieves  Eli Male Employee checkmark Signed Waiver Online
12 Richardson  Damon Male Employee checkmark Signed Waiver Online
13 Riley  Lesley Female Employee  
14 Robbins  David Male Employee checkmark Signed Waiver Online
15 Scott  Joaine Female Employee checkmark Signed Waiver Online
16 Shubbar Iman Female Spouse checkmark Signed Waiver Online
17 Vargas Jorge Male Employee checkmark Signed Waiver Online
18 Velez  Robert Male Employee checkmark Signed Waiver Online
19 Vo  Tam Female Employee checkmark Signed Waiver Online
20 York  Benjamin Male Spouse checkmark Signed Waiver Online

Participants NOT wearing chips for timing
  Last Name First Name Chip Gender Status Signature
1 Bass  Doug   Male Employee checkmark Signed Waiver Online
2 Cavett Brian   Male Employee checkmark Signed Waiver Online
3 Dvorak Madason   Female Employee checkmark Signed Waiver Online
4 Leary  Kathy   Female Employee checkmark Signed Waiver Online
5 Leary  Timothy   Male Spouse checkmark Signed Waiver Online
6 Mogg Amy   Female Employee checkmark Signed Waiver Online
7 Ware Bryan   Male Spouse checkmark Signed Waiver Online
8 Ware  Monica   Female Employee checkmark Signed Waiver Online
9 York  Claire   Female Employee checkmark Signed Waiver Online
10 Zhao  Lin   Female Employee checkmark Signed Waiver Online