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City of Richardson
Corporate Challenge

Division B

 Richardson city logo

2014 Miniature Golf 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 Steve 214-493-0624

Men
  Last Name First Name Gender Status Signature
1 Kaplan Jared Male Employee  
2 Trexler Marvin Male Employee  

Women
  Last Name First Name Gender Status Signature
1 Green Kim Female Employee  
2 Mueller Kelly Female Employee  

Mixed
  Last Name First Name Gender Status Signature
1 Lopez Paul Male Employee  
2 Mistele Lisa Female Employee  

Substitutes
  Last Name First Name Gender Status Signature
1 Green Deidra Female Employee  
2 Kearse Lee Male Employee  
3 Kearse Sabina Female Spouse  
4 Lee Yiying Female Employee  
5 Middleton Diana Female Employee  
6 Nelson Pat Female Employee  
7 Polisky Adrienne Female Spouse  
8 Schmidt Jane Female Employee  
9 Wreyford Kristi Female Employee