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City of Richardson
Corporate Challenge

Division C

Richardson city logo

2013 Golf Roster for Regus

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
Mills Zack 214-354-6382

Team 1
  Last Name First Name Gender Status Lunch Signature
1 Berry Doug Male Employee    
2 Khastehdel Adam Male Employee    
3 Mills Zack Male Employee    
4 Ware Denise Female Employee    

Substitutes
  Last Name First Name Gender Status Lunch Signature
1 Rodts Michael Male Employee