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City of Richardson
Corporate Challenge

Division A

Richardson city logo

2011 Dominoes Roster for BlueCross BlueShield of Texas

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
Boyett Mark 972-766-7549

Team 1
  Last Name First Name Gender Status Signature
1 Boyett Mark Male Employee  
2 Chernov Allan Male Employee  

Team 2
  Last Name First Name Gender Status Signature
1 Boyd Chip Male Employee  
2 Hansen Brent Male Employee  

Substitutes
  Last Name First Name Gender Status Signature
1 Bates Benjamin Male Employee  
2 Chick Wes Male Employee  
3 Fitzgearld Pam Female Employee  
4 Garner Elizabeth Female Employee  
5 Mott Dell Male Employee  
6 Rock Holley Female Employee  
7 Waldon Bonnie Female Employee  
8 Zegub Christy Female Employee