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City of Richardson
Corporate Challenge

Division D

Richardson city logo

2011 Miniature Golf Roster for Air System Components

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
Humphrey Tera 214-649-5406

Men
  Last Name First Name Gender Status Signature
1 Fitch Jarrod Male Employee  
2 Luz Chris Male Employee  

Women
  Last Name First Name Gender Status Signature
1 Kwon Jocelyn Female Employee  
2 Shelton Kathleen Female Employee  

Mixed
  Last Name First Name Gender Status Signature
1 Humphrey Tera Female Employee  
2 Stech Tim Male Employee  

Substitutes
  Last Name First Name Gender Status Signature
1 De Moya Diego Male Employee  
2 Dickinson Melanee Female Employee