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City of Richardson
Corporate Challenge

Division B

Richardson city logo

2014 Dominoes Roster for Concentra Inc.

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
Henson Stephen 214-649-0477

Team 1
  Last Name First Name Gender Status Signature
1 Henson Stephen Male Employee  
2 James Joan Female Employee  

Team 2
  Last Name First Name Gender Status Signature
1 Hinson Mark Male Employee  
2 Nelson Ray Male Spouse  

Substitutes
  Last Name First Name Gender Status Signature
1 Clarkson James (Mike) Male Employee  
2 Lyons Jeff Male Employee  
3 Tomlinson Steve Male Contractor