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City of Richardson
Corporate Challenge

Division D

Richardson city logo

2007 Dominoes Roster for Kaye Bassman International Corp.

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
Dickerson Eric 214-707-2570

Team 1
  Last Name First Name Gender Status Signature
1 Dickerson Eric Male Employee  
2 Swenke Ken Male Spouse  

Substitutes
  Last Name First Name Gender Status Signature
1 Ellis Brad Male Employee  
2 Johnson Jason Male Employee