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City of Richardson
Corporate Challenge

Division D

Richardson city logo

2012 Dominoes 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
Gill DeWayne 972.824.4656

Team 1
  Last Name First Name Gender Status Signature
1 Gill DeWayne Male Employee  
2 Hennig Mike Male Employee  

Substitutes
  Last Name First Name Gender Status Signature
1 Flatt Mark Male Employee  
2 Gill Teresa Female Spouse  
3 Patterson Doug Male Employee