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City of Richardson
Corporate Challenge

Division A

Richardson city logo

2012 Dominoes Roster for PepsiCo

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
Jones Monty 972-963-6782

Team 1
  Last Name First Name Gender Status Signature
1 Dutton Bron Male Employee  
2 Jones Monty Male Employee  

Team 2
  Last Name First Name Gender Status Signature
1 Krauter Daryl Male Employee  
2 Rathbun Dave Male Employee  

Substitutes
  Last Name First Name Gender Status Signature
1 Alber-Brueckman Pat Female Employee  
2 Becker Kevin Male Employee  
3 Donaldson Terrill Male Employee