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City of Richardson
Corporate Challenge

Division D

Richardson city logo

2011 Punt Pass & Kick 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
Tschantz Todd 9728084320

Competitors
  Last Name First Name Gender Status Signature
1 Carrie McCormick Female Spouse  
2 Michelle Smith Female Employee  
3 Mark Rozewicz Male Employee  
4 Tschantz Todd Male Employee  

Substitutes
  Last Name First Name Gender Status Signature
1 McCormick Ross Male Employee