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City of Richardson
Corporate Challenge

Division A

Richardson city logo

2006 Dominoes Roster for Siemens

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
Savage Rhonda 972-465-1534

Team 1
  Last Name First Name Gender Status Signature
1 Herdman Charley Male Spouse  
2 Klutts Darin Male Employee  

Team 2
  Last Name First Name Gender Status Signature
1 Jones Michael Male Employee  
2 Roby Roger Male Employee  

Substitutes
  Last Name First Name Gender Status Signature
1 Bennet Stephen Male Employee