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City of Richardson
Corporate Challenge

Division B

Richardson city logo

2017 Dominos Roster for UT Dallas

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
Junt Thea

Team 1
  Last Name First Name Gender Status Signature
1 Coleman Alphonse Male Employee  
2 Durham Michael Male Employee  

Team 2
  Last Name First Name Gender Status Signature
1 Junt Thea Female Employee  
2 Miller-Powell Darla Female Employee  

Substitutes
  Last Name First Name Gender Status Signature
1 Junt Donald Male Spouse