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FOR OFFICE USE ONLY Lynne Patch Aquatics Inc. MOB500 Hens all Circle, Unit 3 Mississauga L5A 1Y1 (905) 8977946 www.swimlpa.com email: info swimlpa.comCONRECVERIFIEDA/SD/BREGISTRATION FORM SUMMER 2017

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Email infoswimlpa is an email address associated with swimlpa for informational purposes.

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