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City of Richardson
Corporate Challenge

Division D

Richardson city logo

2011 Golf 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
Jimenez Ray 972-470-8534

Team 1
  Last Name First Name Gender Status Lunch Signature
1 Jimenez Ray Male Employee    
2 Meuret Rich Male Employee    
3 Schwenke Lisa Female Employee    
4 Wheeler James Male Employee    

Substitutes
  Last Name First Name Gender Status Lunch Signature
1 Gross-Pierce Kristen Female Employee    
2 Thompson Keith Male Employee