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City of Richardson
Corporate Challenge

Division E

Richardson city logo

2012 Bass Fishing Roster for Ebby Halliday Family of Companies

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
Haeussler Doug 972-665-1930

Team 1
  Last Name First Name Gender Status Signature
1 Haeussler Doug Male Employee  

Team 2
  Last Name First Name Gender Status Signature
1 Haeussler Doug Sr. Male Employee  
2 Selzer Doug Male Employee  

Substitutes
  Last Name First Name Gender Status Signature
1 Rodriguez Bob Male Employee  
2 Wilson James Male Employee