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City of Richardson
Corporate Challenge

Division BB

 Richardson city logo

2011 Kickball 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
Croy Ron 2154353189

Competitors
  Last Name First Name Gender Status Signature
1 Bressie Jacki Female Employee  
2 Croy Ron Male Employee  
3 Epperson Chad Male Employee  
4 Fox Thanh Female Employee  
5 Gibbons Wendy Female Employee  
6 Gray Frank Male Spouse  
7 Green Kim Female Employee  
8 Kidder Amy Female Employee  
9 King Arlene Female Employee  
10 Lopez Paul Male Employee  
11 Luckett Sharon Female Employee  
12 Mamot Zach Male Employee  
13 Newport Ben Male Employee  
14 Polisky Steve Male Employee  
15 Simmons Chris Male Spouse  
16 Slay Justin Male Employee  
17 Tiffany David Male Employee  
18 Wooldridge Janna Female Employee  

Substitutes
  Last Name First Name Gender Status Signature
1 Manning Lauire Female Employee  
2 Nelson Pat Female Employee  
3 Robinson Toyia Female Employee  
4 Young Matt Male Employee