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City of Richardson
Corporate Challenge

Division C

Richardson city logo

2005 Badminton Roster for ELCAN Optical

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
Staley John 972.344.8006

Men
  Last Name First Name Gender Status Signature
1 Klocek Paul Male Employee  
2 Staley John Male Employee  

Women
  Last Name First Name Gender Status Signature
1 Jurik Liz Female Employee  
2 Staley Kristina Female Spouse  

Mixed
  Last Name First Name Gender Status Signature
1 Staley John Male Employee  
2 Staley Kristina Female Employee  

Substitutes
  Last Name First Name Gender Status Signature
1 Christin Ronny Male Employee  
2 DuRoss Gladys Female Employee  
3 Jurik Liz Female Employee  
4 Klocek Maureen Female Spouse  
5 Klocek Paul Male Employee  
6 Staley Kristina Female Spouse