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City of Richardson
Corporate Challenge

Division A

Richardson city logo

2025 Dominoes Roster for Blue Cross Blue Shield

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
Chen Jacob

Team 1
  Last Name First Name Gender Status Signature
1 Blair Nate Male Employee  
2 Chen Jacob Male Employee  

Team 2
  Last Name First Name Gender Status Signature
1 Boyett Mark Male Retiree  
2 Chernov Allan Male Retiree  

Substitutes
  Last Name First Name Gender Status Signature
1 Alvarez Maggie Male Employee  
2 Bass Doug Male Employee  
3 Flowers Kaci Female Employee  
4 Paine JD Male Employee  
5 Soares Toluwani Female Employee  
6 Wakeem Scott Male Employee  
7 Willis Diana Female Employee  
8 Zegub Christy Female Employee