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City of Richardson
Corporate Challenge

Division AA

Richardson city logo

2017 Golf Roster for Globe Life and Accident Insurance Co

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
James Willis 2144353244

Team 1
  Last Name First Name Gender Status Lunch Signature
1 Hergenroether Peggy Female Employee    
2 Nathan Wilson Male Spouse    

Team 2
  Last Name First Name Gender Status Lunch Signature
1 Priest Mike Male Employee    
2 Young James Male Employee    

Substitutes
  Last Name First Name Gender Status Lunch Signature
1 Laskiewicz Scott Male Employee    
2 Leavell Matt Male Employee    
3 Mir Lisa Female Employee    
4 Rieken Nick Male Employee    
5 Willis James Male Employee