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City of Richardson
Corporate Challenge

Division B

Richardson city logo

2006 Dominoes Roster for Concentra / Lockton

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
Harris Steve 214-969-6146

Team 1
  Last Name First Name Gender Status Signature
1 Penny Jerry Male Employee  
2 Simmons Chris Male Employee  

Team 2
  Last Name First Name Gender Status Signature
1 Harris Neil Male Employee  
2 Miles Bill Male Employee  

Substitutes
  Last Name First Name Gender Status Signature
1 Harris Steve Male Employee  
2 Prather Bridgette Female Employee  
3 Van Pelt Cynthia Female Employee