Vaccine Exemption Form & Complete Refusal Statement

Vaccine Exemption Form & Complete Refusal Statement Simply, I refuse to have toxic/carcinogenic/deadly substance(s) injected directly into my bloodstream; specifically heavy metal Mercury (Hg) (Thimiserol), Aluminum, unlicensed animal Squalene, embryonic fetal tissue, oral or nasal viruses, epidermal patches - or any other way that live or semi-live bacterium, virus, pathogens, germs, or any other microorganisms that could have been introduced into or upon my body; nor my children. I refuse any animal or foreign DNA or RNA segments into my body by “Big Pharma” or the Corporate Military Complex. Any denial, detainment, or abuse contrary to this will result in a law suit entered in my family name against all those who would be involved; any low-level person, the President, to the Rockefeller-led cartel. I have the absolute right and freedom to Self-Shield and Self-Quarantine in my home against any such pandemic outbreak(s). I take care of my own immune system and keep it strong with plenty of healthy eating, proper hygiene, and Vitamin D3, Selenium, Zinc and Silver hydrosol supplements. Lastly, I _______________________ (official signature), am proclaiming and exercising my First Amendment Civil Right (that of freedom of speech) and 77.ILLADM.CODE 694.210 (Religious/ Spiritual Exemption from Vaccination & Testing). { Note to signatory – you may cross out the Illinois exemption code and write in the statutory code for your respective state, for each of the 50 US states. } (posted September 2009 on www.docstoc.com & www.pdfcoke.com & fluscam.com for widespead use.) -----------------------------------------------------------------------

Vaccine Exemption Form & Complete Refusal Statement Simply, I refuse to have toxic/carcinogenic/deadly substance(s) injected directly into my bloodstream; specifically heavy metal Mercury (Hg) (Thimiserol), Aluminum, unlicensed animal Squalene, embryonic fetal tissue, oral or nasal viruses, epidermal patches - or any other way that live or semi-live bacterium, virus, pathogens, germs, or any other microorganisms that could have been introduced into or upon my body; nor my children. I refuse any animal or foreign DNA or RNA segments into my body by “Big Pharma” or the Corporate Military Complex. Any denial, detainment, or abuse contrary to this will result in a law suit entered in my family name against all those who would be involved; any low-level person, the President, to the Rockefeller-led cartel. I have the absolute right and freedom to Self-Shield and Self-Quarantine in my home against any such pandemic outbreak(s). I take care of my own immune system and keep it strong with plenty of healthy eating, proper hygiene, and Vitamin D3, Selenium, Zinc and Silver hydrosol supplements. Lastly, I _______________________ (official signature), am proclaiming and exercising my First Amendment Civil Right (that of freedom of speech) and 77.ILLADM.CODE 694.210 (Religious/ Spiritual Exemption from Vaccination & Testing). { Note to signatory – you may cross out the Illinois exemption code and write in the statutory code for your respective state, for each of the 50 US states. } (posted September 2009 on www.docstoc.com & www.pdfcoke.com & fluscam.com for widespead use.)