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City of Richardson
Corporate Challenge

Division D

Richardson city logo

2013 Dominoes Roster for Kosmos 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
Vu Hiep 214-593-5095

Team 1
  Last Name First Name Gender Status Signature
1 Blincow Kelsey Female Employee  
2 Vu Hiep Male Employee  

Team 2
  Last Name First Name Gender Status Signature
1 Ferguson Edwin Male Employee  
2 Graham Josh Male Employee  

Substitutes
  Last Name First Name Gender Status Signature
1 Cosgrove Wade Male Employee  
2 Garrett Marvin Male Employee  
3 O'Connor Karen Female Employee