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City of Richardson
Corporate Challenge

Division D

Richardson city logo

2014 Dodgeball Roster for SOURCE 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
Brehm Wayne 972-742-4417

Competitors
  Last Name First Name Gender Status Signature
1 Baker Linda Female Employee  
2 Brehm Wayne Male Employee  
3 Esparza Adelita Female Employee  
4 Monsivaiz Ramon Male Employee  
5 Watson Tessa Female Employee  
6 Willard Joe Male Employee  

Substitutes
  Last Name First Name Gender Status Signature
1 Ryan Shawn Male Employee