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City of Richardson
Corporate Challenge

Division BB

Richardson city logo

2009 Dominoes Roster for Concentra Inc.

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
Higgs Sheila 972-725-6690

Team 1
  Last Name First Name Gender Status Signature
1 Emmert Ted Male Employee  
2 Higgs Sheila Female Employee  

Team 2
  Last Name First Name Gender Status Signature
1 Middleton Diana Female Employee  
2 Williams Mike Male Employee  

Substitutes
  Last Name First Name Gender Status Signature
1 Battey John Male Employee  
2 Miller Carol Female Employee  
3 Patricia Nelson Female Employee  
4 Simmons Chris Male Employee