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City of Richardson
Corporate Challenge

Division B

Richardson city logo

2006 Table Tennis 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
Kozakis Greg 214 969 6121

Men
  Last Name First Name Gender Status Signature
1 DeBruin Mario Male Spouse  
2 Kozakis Greg Male Employee  

Women
  Last Name First Name Gender Status Signature
1 Pixley Sheri Female Employee  
2 Powell Marie Female Employee  

Mixed
  Last Name First Name Gender Status Signature
1 Phillips Chad Male Employee  
2 Zhou Hong Female Employee  

Substitutes
  Last Name First Name Gender Status Signature
1 Grant Ken Male Employee  
2 Reust Kirk Male Employee