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City of Richardson
Corporate Challenge

Division BB

Richardson city logo

2013 Poker Roster for Ambit Energy

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
Padilla Daniel 469-450-6378

Competitors
  Last Name First Name Gender Status Signature
1 Brown Anthony Male Employee  
2 Jasso Joseph Male Employee  
3 Johnson LaTonya Female Employee