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City of Richardson
Corporate Challenge

Division C

Richardson city logo

2009 Dominoes Roster for IEX, a NICE Systems Company

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
Davis Jack 972-333-4491

Team 1
  Last Name First Name Gender Status Signature
1 Davis Jack Male Employee  
2 Davis Lisa Female Spouse  

Substitutes
  Last Name First Name Gender Status Signature
1 Arnold Henry Male Employee  
2 Dankovcik Richard Male Employee