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City of Richardson
Corporate Challenge

Division BB

Richardson city logo

2011 Dodgeball Roster for Concentra 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
Slay Justin 972-725-6901

Competitors
  Last Name First Name Gender Status Signature
1 Allen Derek Male Employee  
2 Kidder Amy Female Employee  
3 King Arlene Female Employee  
4 Mamot Zachary Male Employee  
5 Slay Justin Male Employee  
6 Wooldridge Janna Female Employee  

Substitutes
  Last Name First Name Gender Status Signature
1 Agnew Ken Male Employee  
2 Bressie Jaclyn Female Employee  
3 Bryant Yvonne Female Employee  
4 Garner Richard Male Employee  
5 Gray Frank Male Spouse  
6 Green Kim Female Employee  
7 Kearse Lee Male Employee  
8 Kersh Greg Male Employee  
9 Luckett Sharon Female Employee  
10 Mason James Male Employee  
11 Rogers Steven Male Employee  
12 Simmons Chris Male Spouse