WPC  c_d͏-ax8!au;g=2F?Ft#=3"+žW>@&?`O^ňf"2Bgcpi4\AtRne(-Δ1构"$U\<ϨOP)k o9u>PɊ,_ ;LpU2tN4/]}Up15ץ9JosjBz«ŜFdQ"Wg^5nMs/x[XW.NlCCSNX beYD \ZnX 9=ƷVwY o-embʚt!$0q1|OZ}.GIeyP :]onqh`JFl/9C;`oCIX;;X]8G'Luه"Z}*nz!+ť7f c"^~@mEC2rsPfcWa /_r,#hUfN1 % 0: 0U 0 0 0 0 0| 0A 0 0 0l 0C 0& 0 0 0c 0 0 0j 0  0 0 0 0; 0 0 0K 0 0F 0< 0   0 0hU>Y ^ w 4   m HP LaserJet 4L,,,,0(9 Z6Times New Roman RegularX($USUS.,*+ (_2623  ..*P+P (_25   8.@ HPX "%823  ..8.@ HPX "%8   *A+A (_24  5+ @ HPX "%523  ..5+ @ HPX "%5  *>+> (_23 ` 2(@ @ HPX "%223  ..2(@ @ HPX "%2 ` *;+; (_22  /% HPX "%/23  ../% HPX "%/  *8+8 (_21  ," HPX "%,23  ..," HPX "%,  *5+5 (_20 h )H HPX "%)23  ..)H HPX "%) h *2+2 (_19  &PX "%&23  ..&PX "%&  */+/ (_18  #PX "%#23  ..#PX "%#  *JJ (_17  >48@ HPX "%>23  Ԁ>48@ HPX "%>  *PP (_16   8.@ HPX "%823  Ԁ8.@ HPX "%8   *AA (_15  5+ @ HPX "%523  Ԁ5+ @ HPX "%5  *>> (_14 ` 2(@ @ HPX "%223  Ԁ2(@ @ HPX "%2 ` *;; (_13  /% HPX "%/23  Ԁ/% HPX "%/  *88 (_12  ," HPX "%,23  Ԁ," HPX "%,  *55 (_11 h )H HPX "%)23  Ԁ)H HPX "%) h *22 (_10  &PX "%&23  Ԁ&PX "%&  (// &_9  #PX "%#23  Ԁ#PX "%#  (JJ &_8  >48@ HPX "%>23  >48@ HPX "%>  (PP &_7   8.@ HPX "%823  8.@ HPX "%8   (AA &_6  5+ @ HPX "%523  5+ @ HPX "%5  (>> &_5 ` 2(@ @ HPX "%223  2(@ @ HPX "%2 ` (;; &_4  /% HPX "%/23  /% HPX "%/  (88 &_3  ," HPX "%,23  ," HPX "%,  (55 &_2 h )H HPX "%)23  )H HPX "%) h (22 &_1  &PX "%&23  &PX "%&  &// $_  #PX "%#23  #PX "%#  6 {4heading 1     /% HPX "%/ #``     #dd  /% HPX "%/  <:Default Para64Body Text     >48@ HPX "%>S%\  `&Times New RomanS    >48@ HPX "%>  S%\  `&Times New RomanS:nn8Body Text 2   >48@ HPX "%>  >48@ HPX "%>  64postbody1\  `&Times New Roman7$g4 Kf4ac Lib3|xU !USUS.,  _  XX&    9% HPX "%X9     ?% HPX "%HX? #``dd       #XkX#%XkXXXk%oX%XkAFFIDAVIT   Ԍ  Ќ  #dd``  *HXHX* %%o  #%XkX%%#%X%Xk#%#%N48@ HPX "%HXN#%XkX%@#%oX%Xk#o%o#%oo#``dd'#%XkX%o##XkXX%XkT#oXXk%oo#%XkX%o#%oX%XkI#%XkX%o@##XkXX%Xk#oXXk%oo#%XkX%o#%oX%Xk,_________________________,Sui_Juris_,Free,NaturalFleshandBloodHumanBeing,stateCitizenofthe#%XkX%o##XkXX%Xk#oXXk%oo#%XkX%o#%oX%XkArkansas#%XkX%oU##XkXX%Xk#oXXk%oo#%XkX%o#%oX%XkԀRepublic#%XkX%o###XkXX%Xk#oXXk%oo#%XkX%o#%oX%XkԀaffirm#%XkX%o##XkXX%Xk#oXXk%oo#%XkX%o^ #%oX%Xk.Beitknowntoallcourts, j governments,andotherpartiesthat: 2X   #%XkX%o #%oX%XkBeingapersonofStrongChristianMorals,itisagainstmyDeep,SincerelyHeld,ReligiousConvictionstoaccepttheinjectionorapplicationofanyforeignsubstance  intomyBody.Thisincludes,butisnotlimitedto,anyandall,X#%XkX%oz #%oX%XkRays,Vaccinations,Shots,TestsforDiseases(TBtests),OralVaccines,EpidermalPatchesand  inanyotherwaythatRadiation,LiveorKilledBacterium,Viruses,Pathogens,Germs,oranyotherMicroorganisms,maybeintroducedintooruponmybody. Rx   #%XkX%o #%X%Xk#%} #%#dd``"    H48@ HPX "%XH%%%%  "   #%XkX%- #%oX%Xk#o%oo #%oo#%XkX%o#%oX%XkThiswrittenstatementtoexemptmyselffromthe#%XkX%o-#%X%Xk#%#%#%XkX%#%oX%Xk#o%o#%oo#%XkX%o'#%oX%Xkimmunizationrequirement#%XkX%o#%X%Xk#%i#%#%XkX%#%oX%Xk#o%oJ#%oo#%XkX%o#%oX%Xk,andthe#%XkX%o#%X%Xk#%#%#%XkX%\#%oX%Xk#o%o#%oo#%XkX%o#%oX%XkMantoux(_PPD_)TuberculinTest#%XkX%og#%X%Xk#%%#%#%XkX%#%oX%Xk#o%o+#%oo#%XkX%om#%oX%Xk,becauseIholdgenuineandsincere   personalreligiousbeliefswhichareinconsistentwiththesemedicalprocedures.Thepracticeofvaccinationandtheinjectionofanyforeignsubstanceis    contrarytomyconscientiouslyheldreligiousbeliefsandpractices,andviolatesthefreeexerciseofmyreligiousprinciples." g݌ r   Ќ     XX %o%o%%o      "    H48@ HPX "%XH%%%%  "J  #%XkX%#%oX%Xk#o%o#%oo"J݌̌     XX %o%o%%o    "    H48@ HPX "%XH%%%%  "g  #%XkX%S#%oX%Xk#o%o#%oo#%XkX%op#%X%Xk#%#%#%XkX%#%oX%Xk#o%o6#%oo#%XkX%ox#%oX%XkThe#%XkX%o#%X%Xk#%#% #%XkX%B#%oX%Xk#o%o#%oo#%XkX%o#%oX%XkHepatitis#%XkX%oM#%oX%XkA #%XkX%o#%X%Xk#% #%#%XkX%#%oX%Xk#o%o"#%oo#%XkX%od#%oX%Xkand#%XkX%o#%X%Xk#%#% #%XkX%-#%oX%Xk#o%oo#%oo#%XkX%o#%oX%XkԀ_MMR_Ԁ#%XkX%o8 #%X%Xk#%#%#%XkX% #%oX%Xk#o%o #%oo#%XkX%o#!#%oX%Xkvaccine#%XkX%o!#%X%Xk#%e!#%#%XkX%!#%oX%Xk#o%o2"#%oo#%XkX%ot"#%oX%Xks #%XkX%o"#%X%Xk#%"#%#%XkX%>##%oX%Xk#o%o##%oo#%XkX%o##%oX%Xk,containsthe#%XkX%oF$#%X%Xk#%$#% #%XkX%$#%oX%Xk#o%o$#%oo#%XkX%o%#%oX%Xk_MRC_Ԅ#%XkX%o%#%oX%Xk5 #%XkX%o&#%X%Xk#%`%#%#%XkX%N&#%oX%Xk#o%o&#%oo#%XkX%o&#%oX%XkԀfetalcelllinewhichisobtainedfromhumanbabiesthatwereelectivelyaborted.#%XkX%oV'#%X%Xk#%'#% #%XkX%'#%X%XkWI#%XkX%r(#%X%Xk38 #%XkX%(#%X%XkԀwas  (  createdfromthetissueofanabortedfetusandisusedfortherubellaportionofthe #%XkX%(#%X%Xk_MMR_Ԅ#%XkX%)#%X%XkII #%XkX%*#%X%XkԀvaccine.$%o%  #%XkX%o`*#%oX%XkAconflictarisesbecausemyreligious   convictionsarepredicatedonthebeliefthatalllifeissacred.God'scommandment$*%%o  #%XkX%*#%X%Xk#%-(#%$%o%  #%XkX%o+#%oX%Xk"ThouShallNotKill" $Z,%%o  #%XkX%,#%X%Xk#%;,#%$%o%  #%XkX%o\-#%oX%XkԀappliestothepracticeofabortion.$-%%o  #%XkX%.#%X%Xk#%-#%#%XkX%.#%oX%Xk#o%o/#%oo#%XkX%oG/#%oX%XkԀ#%XkX%o/#%X%Xk#%/#%#%XkX%0#%X%XkԀ#%XkX%0#%oX%Xk#o%oP0#%oo#%XkX%o0#%oX%XkThe   #%XkX%oY1##XkXX%Xk1# %XkXXXk%oX%XkHepatitis#%XkX%o1#%oX%XkBvaccine #%XkX%oD2#%X%Xk#%1#%#%XkX%2#%oX%Xk#o%o2#%oo#%XkX%o3#%oX%XkԀprotectsagainstadiseasethatisonlytransmittedthroughmultiplesexualpartnersorstreetIVdrugusersandthereforeusurpsmy b  parentalauthoritytocondemnsuchactivityinmychild.Theacceptanceofthisvaccinepromotessexualpromiscuityandimmoralbehaviorindirect *P  contradictiontotheteachingsofourfaith.#%XkX%o3#%X%Xk#%X3#%#%XkX%I5#%oX%Xk#o%o5#%oo"g.݌  Ќ     XX %o%o%%o    "    H48@ HPX "%XH%%%%  "6  #%XkX%5#%oX%Xk#o%o6#%oo#%XkX%o7#%X%Xk#%@8#%#%XkX%8#%oX%Xk#o%o8#%oo"67݌̌     XX %o%o%%o    #%XkX%9#%X%Xk#%H9#%  #%XkX%=:#%oX%Xk#o%o:#%oo#%XkX%o:#%oX%Xk(We/I)#%XkX%oQ;#%oX%Xk{FirstandLastname(s)#%XkX%o;#%oX%Xk},asthe#%XkX%o;#%oX%Xk{(parent(s)/guardian(s)#%XkX%oA<#%oX%Xk}of______________________#%XkX%o<#%X%Xk#%;#%#%XkX%<#%oX%Xk#o%o;=#%oo#%XkX%o=#%oX%Xk(nameofchild)#%XkX%o>#%X%Xk#%=#%#%XkX%X>#%oX%Xk#o%o>#%oo#%XkX%o>#%oX%XkԀareexercisingourrightsunderthe#%XkX%o`?#%X%Xk#%?#% #%XkX%?#%oX%Xk#o%o @#%oo#%XkX%oN@#%oX%XkFirst  AmendmentoftheUSConstitution #%XkX%o@#%X%Xk#%@#%#%XkX%QA#%oX%Xk#o%oA#%oo#%XkX%oA#%oX%XkԀtoreceiveReligiousExemptionfromVaccination&testing. Jp #%XkX%oYB#%X%Xk#%B#%  #%XkX%B#%oX%Xk#o%o-C#%oo#%XkX%oC#%X%Xk#%C#%#%XkX%D#%oX%Xk#o%oTD#%oo#%XkX%oD#%oX%XkApplicablelawhasbeeninterpretedtomeanthatareligiousbeliefissubjecttoprotectioneventhoughnoreligiousgroupespousessuchbeliefsorthe  factthatthereligiousgrouptowhichtheindividualprofessestobelongmaynotadvocateorrequiresuchbelief.#%XkX%oE#%X%Xk#%D#%#%XkX%|F#%oX%Xk#o%oF#%oo#%XkX%oG#%oX%XkTitleVIIoftheCivilRightsActof z 1964asamendedNov.1,1980;Part1605.1#%XkX%oG#%oX%XkGuidelinesonDiscriminationBecauseofReligion#%XkX%o,H#%X%Xk#%EG#%#%XkX%H#%oX%Xk#o%oH#%oo#%XkX%o%I#%oX%Xk. .T #%XkX%oI#%X%Xk#%gI#%  #%XkX%J#%oX%Xk#o%oCJ#%oo#%XkX%oJ#%oX%XkTheLordJesusChristandOurCreatoraretheonlysourceofprotectionofmybodyandthatofmyfamilythatIcanaccept.      #%XkX%o(K#%oX%XkIaffirmthatvaccination&injectionsofforeignproteins,andpoisonousx#%XkX%oL#%oX%Xkrays(radiation),conflictwithmyreligiousbeliefasstatedabove.Therefore,I :` wouldrequestthatyouaccommodatemyreligiousbeliefsandpracticesbyexemptingmefromtheemployment#%XkX%oL#%X%Xk#%J#%#%XkX%M#%oX%Xk#o%oM#%oo#%XkX%o7N#%oX%Xk/college#%XkX%oN#%X%Xk#%yN#%#%XkX%O#%oX%Xk#o%oHO#%oo#%XkX%oO#%oX%Xkvaccinationand/orTBtesting ( requirement.      #%XkX%oP#%X%Xk#%O#%  #  H48@ HPX "%XH%%  #;Q  #%XkX%P#%oX%Xk#o%oP#%oo#%XkX%oR#%oX%XkRestassuredthatmyfamilyandIdopracticeaformofimmunizationthatkeepsourimmunesystemsstrongandisinkeepingwithBiblicalprinciples.#;QQ݌ Z! Ќ   XX %%o  #%XkX%R#%X%Xk#%[R#%  #%XkX%T#%oX%Xk#o%oFT#%oo#``dd#%XkX%oT#%oX%XkFurther_Affiant_ԀSaithNot #   #%XkX%o=U#%oX%XkTheuseofnotarybelowisforidentificationonly,andsuchusedoesNOTgrantanyjurisdictiontoanyone. f% #%XkX%oU#%oX%XkSubscribedandsworn,withoutprejudice,andwithallrightsreserved,(PrintNameBelow) ' #%XkX%oV#%oX%Xk_______________________________________________________________, !) #%XkX%oNW#%oX%XkPrincipal,bySpecialAppearance,in_Propria_ԀPersona,proceedingSui_Juris_. N"t * #%XkX%oW#%oX%Xk_______________________________ #", #%XkX%oX#%oX%XkSignatureof_Affiant_#%XkX%o?Y#%oX%Xk   $"-   #%XkX%oY##XkXX%XkT#9% HPX "%X9oXXk%oo#%XkX%oZ#%oX%XkQHHACKNOWLEDGMENT n%#. #%XkX%oZ##XkXX%XkZ#N48@ HPX "%HXNoXXk%oo#%XkX%o[#%oX%Xkstateof#%XkX%o,\##XkXX%Xk[#oXXk%oo#%XkX%o\#%oX%XkArkansas#%XkX%o\##XkXX%Xk\#oXXk%oo &$%0   #%XkX%oh]#%oX%Xkcountyof_________________: (&2 #%XkX%o]#%oX%XkOnthis_______dayof______________,200__,beforeme *D(4 #%XkX%o_^#%oX%Xkpersonallyappeared__________________________________,tomeknowntobethepersondescribedinandwhoexecutedtheforegoinginstrumentand +)6 acknowledgedthatheexecutedthesameashisfreeactanddeed,forthepurposesthereinsetforth. v,*7 #%XkX%o^#%oX%XkԀ_______________________________________ .,,9 #%XkX%oO`#%oX%XkԀ(NotaryPublic) .,:   #%XkX%o`##XkXX%Xk]#  oXXk%oo#%XkX%oa#%oX%XkMyCommissionExpires______________________________,200___#%XkX%ob##XkXX%Xka#