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City of Richardson
Corporate Challenge

Division BB

Richardson city logo

2012 Dominoes Roster for UT Dallas

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
Junt Thea 972-883-6515

Team 1
  Last Name First Name Gender Status Signature
1 Hernandez Daniel Male Employee  
2 Junt Thea Female Employee  

Team 2
  Last Name First Name Gender Status Signature
1 Latham James Male Employee  
2 Powell Mark Male Employee  

Substitutes
  Last Name First Name Gender Status Signature
1 Shedd Doug Male Employee  
2 Soheili Hamid Male Employee