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City of Richardson
Corporate Challenge

Division B

 Richardson city logo

2014 Flag Football 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
Polisky Steven 214-493-0624

Competitors
  Last Name First Name Gender Status Signature
1 Agnew Ken Male Employee  
2 Block Kevin Male Employee  
3 Cruz Floyd Male Employee  
4 Dilley Chris Male Spouse  
5 Fields Brandon Male Employee  
6 Henry Sean Male Employee  
7 Jordan Rick Male Employee  
8 Kearse Lee Male Employee  
9 McCauley Dontay Male Employee  
10 Montgomery Shaylon Female Employee  
11 Patil Karthik Male Employee  
12 Rogers Steven Male Employee  
13 Rose Eddie Male Employee  
14 Sim Sokhan Male Employee  
15 Washington Wayne Male Employee  
16 Wong Marco Male Employee  

Substitutes
  Last Name First Name Gender Status Signature
1 Butler Jermaine Male Employee  
2 Cardoso Jessi Male Employee  
3 Gorman Matthew Male Employee  
4 Henson Stephen Male Employee  
5 Hom Ron Male Employee  
6 Jayroe Wesley Male Employee  
7 Lopez Paul Male Employee  
8 Murphy Derrick Male Employee  
9 Peterson Dazaree Male Employee  
10 Sanford Brandon Male Employee  
11 Wells Clarence Male Employee