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City of Richardson
Corporate Challenge

Division D

Richardson city logo

2009 Punt Pass & Kick Roster for Debt Settlement America/ Availity

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
Hamilton Shaya 214-766-8454

Competitors
  Last Name First Name Gender Status Signature
1 Herrera Melissa Female Employee  
2 Hamilton Shaya Female Employee  
3 Roy Brian Male Employee  
4 Russbach Julian Male Employee  

Substitutes
  Last Name First Name Gender Status Signature
1 LaRue Dana Female Employee  
2 Ybarra Greg Male Employee  
3 Davis Jeff Male Spouse  
4 Lozano Michael Male Employee  
5 Maddox Mike Male Employee  
6 Seisler Mike Male Employee