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City of Richardson
Corporate Challenge

Division C

Richardson city logo

2012 Miniature Golf Roster for Texas Capital Bank

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
Selen Brian (972) 971-2133

Men
  Last Name First Name Gender Status Signature
1 Jordan Russell Male Employee  
2 Selen Brian Male Employee  

Women
  Last Name First Name Gender Status Signature
1 Carrasco Cyndy Female Employee  
2 Lomax Vicki Female Employee  

Mixed
  Last Name First Name Gender Status Signature
1 Long Renee Female Employee  
2 Rosics Don Male Employee  

Substitutes
  Last Name First Name Gender Status Signature
1 Valentine Mary Female Employee