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City of Richardson
Corporate Challenge

Division BB

 Richardson city logo

2012 Miniature Golf 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
Polisky Steven 972-720-7809

Men
  Last Name First Name Gender Status Signature
1 Kaplan Jared Male Employee  
2 Roberts Khris Male Employee  

Women
  Last Name First Name Gender Status Signature
1 Mueller Kelly Female Employee  
2 Schmidt Jane Female Employee  

Mixed
  Last Name First Name Gender Status Signature
1 Lopez Paul Male Employee  
2 Mistele Lisa Female Employee  

Substitutes
  Last Name First Name Gender Status Signature
1 Garcesa Art Male Employee  
2 Green Kim Female Employee  
3 Huertas Victor Male Employee  
4 Kearse Sabina Female Spouse  
5 Kidder Amy Female Employee  
6 King Arlene Female Employee  
7 Nelson Pat Female Employee  
8 Peterson Erica Female Employee  
9 Polisky Adrienne Female Spouse  
10 Polisky Steven Male Employee  
11 Ronda Jennifer Female Employee  
12 Slay Justin Male Employee  
13 Stein Jeff Male Employee  
14 Williams Mike Male Employee