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City of Richardson
Corporate Challenge

Division C

Richardson city logo

2022 Dominoes Roster for ACTIVE Network

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
Beiswanger Ron 214-597-9857

Team 1
  Last Name First Name Gender Status Signature
1 Montgomery Brittany Female Employee  
2 Walker Gloria Female Employee  

Team 2
  Last Name First Name Gender Status Signature
1 Beiswanger Ron Male Employee  
2 kurtz Tyler Male Employee  

Substitutes
  Last Name First Name Gender Status Signature
1 Sanders John Male Employee