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City of Richardson
Corporate Challenge

Division D

Richardson city logo

2018 Dominos Roster for Fused

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
Gengo Adam 9724582296

Team 1
  Last Name First Name Gender Status Signature
1 Kemp Daniel Male Employee  
2 Slayer Landon Male Employee  

Team 2
  Last Name First Name Gender Status Signature
1 Fletcher Amanda Female Employee  
2 Gonzalez Pedro Male Employee  

Substitutes
  Last Name First Name Gender Status Signature
1 Gengo Adam Male Employee  
2 Rachuig Charlie Male Employee