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City of Richardson
Corporate Challenge

Division E

Richardson city logo

2011 15K Bike Roster for NICE Systems

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
Mathis Ken 972-301-1210

Competitors wearing chips for timing
  Last Name First Name Chip Gender Status Signature
1 Aho Brad Male Employee  
2 Brungardt  Brian Male Spouse  
3 Brungardt  Pam Female Employee  
4 Moses  Tammy Female Employee  
5 Ram Lalitha Female Employee  
6 Thomas John Male Employee  

Participants NOT wearing chips for timing
  Last Name First Name Chip Gender Status Signature
1 Mathis Kenneth   Male Employee