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City of Richardson
Corporate Challenge

Division D

Richardson city logo

2009 Dominoes Roster for America First Insurance

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
Ford Kay 972-470-8678

Team 1
  Last Name First Name Gender Status Signature
1 Ford Coy Male Spouse  
2 Ford Kay Female Employee