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City of Richardson
Corporate Challenge

Division C

Richardson city logo

2011 Dominoes Roster for PFSWeb, Inc.

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
Hong Grace 6465410789

Team 1
  Last Name First Name Gender Status Signature
1 Lawrence CB Male Employee  
2 Zellner Raymond Male Employee  

Substitutes
  Last Name First Name Gender Status Signature
1 Burnham Shatara Female Employee  
2 Corbitt Amber Female Employee  
3 Hong Grace Female Employee  
4 Jackson Dyron Male Employee