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City of Richardson
Corporate Challenge

Division BB

 Richardson city logo

2012 Flag Football Roster for Concentra Inc.

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
Slay Justin 972-725-6901

Competitors
  Last Name First Name Gender Status Signature
1 Anderson Kyle Male Employee  
2 Elledge Clay Male Employee  
3 Epperson Chad Male Employee  
4 Howard Russ Male Employee  
5 Kearse Lee Male Employee  
6 Locke Gary Male Employee  
7 Lutzi Andrew Male Employee  
8 Mason James Male Employee  
9 Polisky Steve Male Employee  
10 Rogers Steven Male Employee  
11 Rose Edward Male Employee  
12 Sim Sokhan Male Employee  
13 Slay Justin Male Employee  
14 Wells Clarence Male Employee  
15 Wong Marco Male Employee  
16 Wright LaRay Male Employee  

Substitutes
  Last Name First Name Gender Status Signature
1 Bourda Barry Male Employee