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City of Richardson
Corporate Challenge

Division A

Richardson city logo

2014 Billiards Roster for HP

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
Dervin Connor

Men
  Last Name First Name Gender Status Signature
1 Misustin Jeff Male Employee  
2 Tucker Jason Male Employee  

Women
  Last Name First Name Gender Status Signature
1 Kim Jeannie Female Employee  
2 Plumlee Sandi Female Employee  

Mixed
  Last Name First Name Gender Status Signature
1 Divita Mary Female Employee  
2 Mouasher Abraham Male Employee  

Substitutes
  Last Name First Name Gender Status Signature
1 Braje Kim Female Employee  
2 Conmy Michael Male Employee  
3 Dervin Connor Male Employee  
4 Khayal Sam Male Employee