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City of Richardson
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2011 15K Bike Roster for Convergys
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 | Phone | |
|---|---|---|---|
| Wilbur | Doug | 972 454 8159 | |
Competitors wearing chips for timing | ||||||
| Last Name | First Name | Chip | Gender | Status | Signature | |
|---|---|---|---|---|---|---|
| 1 | Allen  |
Graham |  | Male | Employee | |
| 2 | Allen |
Kim | | Female | Spouse | |
| 3 | Bogdan |
Blaszczak | | Male | Employee | |
| 4 | Harris |
Mark | | Male | Employee | |
| 5 | Malgosia |
Wilk-Blaszczak | | Female | Spouse | |
| 6 | Mirkowicz |
Margaret | | Female | Spouse | |
| 7 | Mirkowicz |
Walt | | Male | Employee | |
| 8 | Struck |
Jessica | | Female | Employee | |
| 9 | Wilbur |
Doug | | Male | Employee | |
Participants NOT wearing chips for timing | ||||||
| Last Name | First Name | Chip | Gender | Status | Signature | |
| 1 | Grady | Sean | Male | Employee | ||