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Get Fillable Pa Health Club Registration

ED BY YOUR HEALTH CLUB. CERTIFICATE I hereby certify that the information contained in this Certificate of Registration is true and correct. I further certify that I have actual authority to make this certification on behalf of the health club identified in Paragraph 1 above. I also understand that any false statements made herein are subject to the penalties for unsworn falsification to authorities pursuant to18 Pa. C.S. Section 4904. Date Signature Printed Name Title Health Club Registra.

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