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City of Richardson
Corporate Challenge

Division C

Richardson city logo

2004 Billiards Roster for Texans Credit Union

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
SHOULTZ STACEY 2142898189

Men
  Last Name First Name Gender Status Signature
1 LACAILLE PATRICK Male Spouse  
2 LAUDIEN ED Male Employee  

Women
  Last Name First Name Gender Status Signature
1 PHILLIPS JESSICA Female Employee  
2 SHOULTZ STACEY Female Employee  

Mixed
  Last Name First Name Gender Status Signature
1 LACAILLE PATRICK Male Spouse  
2 SHOULTZ STACEY Female Employee  

Substitutes
  Last Name First Name Gender Status Signature
1 CHADWICK DERRICK Male Employee  
2 FARQUHAR LESLIE Female Employee  
3 NASH TERRI Male Spouse