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City of Richardson
Corporate Challenge

Division D

Richardson city logo

2011 Bass Fishing Roster for America First Insurance/Safeco

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
Pope Tomi 817-701-6310

Team 1
  Last Name First Name Gender Status Signature
1 McCormick Ross Male Employee  
2 Pope Michael Male Spouse  

Team 2
  Last Name First Name Gender Status Signature
1 Grumbles Jimmy Male Spouse  
2 Pope Tomi Female Employee  

Substitutes
  Last Name First Name Gender Status Signature
1 Grumbles Alicia Female Employee  
2 Rozewicz Mark Male Employee  
3 Smith Brian Male Employee  
4 Villalpando Jorge Male Spouse