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City of Richardson
Corporate Challenge

Division B

Richardson city logo

2009 Dominoes Roster for Lennox International

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
Jackson Jerry 214-708-2103

Team 1
  Last Name First Name Gender Status Signature
1 Berkstresser Kelly Male Employee  
2 Jackson Jerry Male Employee  

Team 2
  Last Name First Name Gender Status Signature
1 Bowers Lidia Female Employee  
2 Williams Katie Female Employee