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City of Richardson
Corporate Challenge

Division B

Richardson city logo

2004 Table Tennis Roster for Fossil

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
Mohanty Manali 972-699-4902

Men
  Last Name First Name Gender Status Signature
1 Lenz Derrick Male Employee  
2 Park Jun Male Employee  

Women
  Last Name First Name Gender Status Signature
1 Kelly Beth Female Employee  
2 Mohanty Manali Female Employee  

Mixed
  Last Name First Name Gender Status Signature
1 Ahmed Ike Male Employee  
2 Nelson Cari Female Employee  

Substitutes
  Last Name First Name Gender Status Signature
1 Edwards Jill Female Employee  
2 Flournoy Craig Male Employee  
3 Srey Rome Male Employee