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City of Richardson
Corporate Challenge

Division C

Richardson city logo

2011 Billiards Roster for FM Global

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
Tavener Brian 316-204-9838

Men
  Last Name First Name Gender Status Signature
1 Stillman Travis Male Employee  
2 Wade Larry Male Spouse  

Women
  Last Name First Name Gender Status Signature
1 Palmer Rachel Female Employee  
2 Taylor Liz Female Employee  

Mixed
  Last Name First Name Gender Status Signature
1 Schultheis Chris Male Spouse  
2 Schultheis Lynette Female Employee  

Substitutes
  Last Name First Name Gender Status Signature
1 Jolly Linda Female Employee  
2 Tavener Brian Male Employee