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City of Richardson
Corporate Challenge

Division E

Richardson city logo

2025 Dodgeball 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
Medina Lisa 312-330-1625

Competitors
  Last Name First Name Gender Status Signature
1 Duran Ana Female Employee  
2 Ervin Blake Male Employee  
3 Jones Andre Male Employee  
4 Martinez Joselyn Female Employee  
5 Medina Lisa Female Employee  
6 Paloblanco Rosie Female Employee  
7 Ramos Juan Male Employee  
8 Sharma Vikrant Male Employee  
9 Tillies Amber Female Employee  

Substitutes
  Last Name First Name Gender Status Signature
1 Alvarez Jacqueline Female Employee  
2 Wren Jas Female Employee