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City of Richardson
Corporate Challenge

Division BB

Richardson city logo

2011 Bass Fishing Roster for AmerisourceBergen Specialty Group

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
Osuna Marco 214-250-2583

Team 1
  Last Name First Name Gender Status Signature
1 Anderson Brian Male Spouse  
2 Anderson Catherine Female Employee  

Team 2
  Last Name First Name Gender Status Signature
1 Edwards Nikki Female Employee  
2 Mrha Chet Male Employee