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City of Richardson
Corporate Challenge

Division C

Richardson city logo

2018 15K Bike Roster for National Life Group

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
Smith Chad

Competitors wearing chips for timing
  Last Name First Name Chip Gender Status Signature
1 Monges  Anna Female Spouse checkmark Signed Waiver Online
2 Monges  Carlos Male Employee checkmark Signed Waiver Online
3 Smith Chad Male Employee checkmark Signed Waiver Online
4 Smith Gina Female Spouse checkmark Signed Waiver Online