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City of Richardson
Corporate Challenge

Division B

Richardson city logo

2022 Dominoes Roster for City of Richardson

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
Scalice Heidi 972-744-7851

Team 1
  Last Name First Name Gender Status Signature
1 Spencer Cassandra Female Employee  
2 Spencer William Male Spouse  

Team 2
  Last Name First Name Gender Status Signature
1 Dawson Johnny Male Employee  
2 Pena Mia Female Employee  

Substitutes
  Last Name First Name Gender Status Signature
1 Dawson Johnny Male Employee  
2 Miller Jaime Female Employee  
3 Pena Mia Female Employee  
4 Spencer Cassandra Female Employee  
5 Spencer William Male Spouse