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City of Richardson
Corporate Challenge

Division AA

Richardson city logo

2014 Billiards Roster for Fossil

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
Couger Jim 2144603272

Men
  Last Name First Name Gender Status Signature
1 Platt Derek Male Employee  
2 Trieu David Male Employee  

Women
  Last Name First Name Gender Status Signature
1 Martin Amanda Female Employee  
2 Samaniego Tiffany Female Employee  

Mixed
  Last Name First Name Gender Status Signature
1 Couger Jim Male Employee  
2 Paz Lauren Female Employee  

Substitutes
  Last Name First Name Gender Status Signature
1 Bauer Brooke Female Employee  
2 Couger Lauryn Female Spouse  
3 Halcomb Derrick Male Employee  
4 Lester Adam Male Employee  
5 Pegram Victor Male Employee  
6 Verhagen Jason Male Employee  
7 Zachariades Anthony Male Employee