Here's the copy of the affidavit I sent to a gentleman a couple of days ago, who wanted to avoid TB testing. He's a school bus driver. He was also concerned about the Hep B vaccine as well.
I sent him the article on TB test alternatives, list of practitioners, along with our Acceptance of Responsibility, and OSHA Hep B Declination Form. I sent him a generic form, citing OSHA standards. I have this in Microsoft Word format, if anyone wants it. Services4Health (at) aol (dot) com
AFFIDAVIT for Missouri Adult.doc
--begin affidavit--
AFFIDAVIT
Comes now, _________________________, Sui Juris, Free, Natural Flesh and Blood Human Being, state Citizen of the Missouri 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 or application of any foreign substance into and upon my Body. This includes, but is not limited to, any and all, X-Rays, Vaccinations, Shots, invasive Tests for Diseases (TB skin tests), Oral Vaccines, Epidermal Patches and in any other way that X-Ray Radiation, Live or Killed Bacterium, Viruses, Pathogens, Germs, Microorganisms or any other carcinogenic foreign proteins, 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. 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 Hepatitis-A & MMR vaccines containing MRC-5 are obtained from human babies that were electively aborted. WI-38 was created from the tissue of an aborted fetus and is used for the rubella portion of the MMR-II vaccine. 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 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 our faith.
(I/We), {First and Last name(s)}, (am/are) exercising (my/our) rights under the First Amendment of the US Constitution and 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, and poisonous x-rays (radiation), 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 employment/college vaccination and/or TB testing requirement.
Rest assured that my family and I do practice a form of immunization that keeps our immune systems 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 Missouri
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___
--end of Affidavit--
Donna Carrillo, co-director
Vaccination Liberation
http://www.vaclib.org"Ask me about vaccine exemptions"