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California - Private College Mandated Vaccines

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http://www.vaclib.org/exempt/california.htm

about 1/2 way down the page

more at webpage

I would use the religious exemption (even though California has a

philosophical exemption)

Colleges & Universities:

WARNER PACIFIC COLLEGE Measles (Rubeola) Immunization Record/Exemption Form

http://www.warnerpacific.edu/Admissions/pdf/mmr.pd...

CA State Fullerton University Hep B and MMR vaccine waiver form

http://www.fullerton.edu/shcc/pdfs/Waiver_Form.pdf

University of California, San Diego Hepatitis B Statement

Hep B Vaccine Waiver (page 2) (Students)

http://studenthealth.ucsd.edu/pdfdocs/hepbreqstatement.pdf

CSU, San Marcos

Student Health & Counseling Services

San Marcos, CA 92079-0001

Fax Number: 760-750-3181

Phone Number: 760-750-4915

Certificate of Immunization for Cal State San Marcos

(Exemption at bottom of form)

http://www.csusm.edu/shs/PDF%20Filesforms/Certificate%20of%20immunization.pdf

University of Southern California

HEPATITIS B VACCINATION DECLINATION FORM (University Students)

http://www.usc.edu/student-affairs/Health_Center/docs/ec.hepatitis.b.vaccina

tion.2004.pdf

California State University, Chico

STUDENT IMMUNIZATION CERTIFICATION

Bottom of page EXEMPTION FROM IMMUNIZATION: To request exemption, check the

item which applies to you, and sign your name in the space provided below.

http://em.csuchico.edu/sro/Forms/ImmunizationCertification.pdf

Humboldt State University

Student Health Center

Arcata, CA 9552

Immunization Form

Exemption request bottom of page 2.

http://studentaffairs.humboldt.edu/_download/immunization_form.pdf

AFFIDAVIT for California Adult (college religious exemption) ... Edit as

needed...

You may use this for employment situtations as well. AFFIDAVIT

Comes now, _________________________, Sui Juris, Free, Natural Flesh and

Blood Human Being, state Citizen of the California Republic. Be it known to

all courts, governments, and other parties that:

Being a person of Strong Christian Morals, it is against my Deep, Sincerely

Held, Religious Convictions to accept the injection of any foreign

substance into my Body. This includes, but is not limited to, any and all,

Vaccinations, Shots, Tests for Diseases, Oral Vaccines, Epidermal Patches

and in any other way that Live or Killed Bacterium, Viruses, Pathogens,

Germs, or any other Microorganisms, may be introduced into or upon my body.

This written statement to exempt myself from the immunization requirement,

and the Mantoux (PPD) Tuberculin Test, because I hold genuine and sincere

personal religious beliefs which are inconsistent with these medical

procedures and experimentation. The practice of vaccination and the

injection of any foreign substance is contrary to my conscientiously held

religious beliefs and practices, and violates the free exercise of my

religious principles.

The attenuated virus used to produce the Rubella vaccine (RA27/3) was

obtained from an aborted fetus and then cultivated on fetal tissue from

another aborted baby (WI-38), and is also in the rubella portion of the

MMR-II vaccine. The Chickenpox vaccine containing WI-38, MRC-5 and

Hepatitis-A vaccine (MRC-5) were obtained from human babies that were

electively aborted. A conflict arises because my religious convictions are

predicated on the belief that all life is sacred. God's commandment " Thou

Shall Not Kill " applies to the practice of abortion. The acceptance of

these vaccines promotes abortion and violates the Sixth Commandment of

" Thou Shall Not Kill " . The Hepatitis-B vaccine protects against a disease

that is only transmitted through multiple sexual partners or street IV drug

users. The acceptance of this vaccine promotes sexual promiscuity and

immoral behavior in direct contradiction to the teachings of my faith.

I, {First and Last name}, am exercising my rights under the First Amendment

of the US Constitution and California Health & Safety Code #120365 to

receive Religious Exemption from Vaccination & testing.

Applicable law has been interpreted to mean that a religious belief is

subject to protection even though no religious group espouses such beliefs

or the fact that the religious group to which the individual professes to

belong may not advocate or require such belief. Title VII of the Civil

Rights Act of 1964 as amended Nov. 1, 1980; Part 1605.1-Guidelines on

Discrimination Because of Religion.

The Lord Jesus Christ and Our Creator are the only source of protection of

my body and that of my family that I can accept.

I affirm that vaccination & injections of foreign proteins conflict with my

religious belief as stated above. Therefore, I would request that you

accommodate my religious beliefs and practices by exempting me from the

college vaccination and TB testing requirement.

Rest assured that I do practice a form of immunization that keeps my immune

system strong and is in keeping with Biblical principles.

Further Affiant Saith Not

The use of notary below is for identification only, and such use does NOT

grant any jurisdiction to anyone.

Subscribed and sworn, without prejudice, and with all rights reserved,

(Print Name Below)

_______________________________________________________________,

Principal, by Special Appearance, in Propria Persona, proceeding Sui Juris.

_______________________________

Signature of Affiant

ACKNOWLEDGMENT

state of California

county of _________________:

On this _______ day of ______________, 200__, before me

personally appeared __________________________________, to me known to be

the person described in and who executed the foregoing instrument and

acknowledged that he executed the same as his free act and deed, for the

purposes therein set forth.

_______________________________________

(Notary Public)

My Commission Expires ______________________________, 200___

--------------------------------------------------------

Sheri Nakken, R.N., MA, Classical Homeopath

Vaccination Information & Choice Network, Nevada City CA & Wales UK

$$ Donations to help in the work - accepted by Paypal account

vaccineinfo@... voicemail US 530-740-0561

(go to http://www.paypal.com) or by mail

Vaccines - http://www.nccn.net/~wwithin/vaccine.htm

Vaccine Dangers On-Line course - http://www.nccn.net/~wwithin/vaccineclass.htm

Homeopathy On-Line course - http://www.nccn.net/~wwithin/homeo.htm

ANY INFO OBTAINED HERE NOT TO BE CONSTRUED AS MEDICAL

OR LEGAL ADVICE. THE DECISION TO VACCINATE IS YOURS AND YOURS ALONE.

******

" Just look at us. Everything is backwards; everything is upside down.

Doctors destroy health, lawyers destroy justice, universities destroy

knowledge, governments destroy freedom, the major media destroy information

and religions destroy spirituality " .... Ellner

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