HOW TO SUBMIT THIS FORM
1) Fill in the blanks of the form.
2) Sign the form.
3) Make some photocopies of the form.
4) Send the original form by Certified U.S. Postal Mail to the person who is threatening to administer medical treatment to your child without your consent. If there is more than one party threatening, then put the cc’s at the bottom of the notice and send the original to the main offender and send photocopies to any other possible offenders. It is best to use Certified U.S. Postal Service for all copies, but any mail service that provides a signed receipt of delivery probably would hold up in court.
5) Keep photocopies and all mail receipts in a well-organized file.
6) ALWAYS respond to any rebuttal, threat, or objection you receive. Repeat your denial of parental consent for medical treatment of your children after each correspondence from the offending institution. Threats are not rebuttals and probably are not productive. Unless the recipient can provide evidence of some form of right to determine your child’s medical treatment (e.g., juvenile court order appointing a custodian or guardian), repeat your notice with a title “NOTICE OF NON-ACCEPTANCE OF AUTHORITY TO VACCINATE.”
6) To be protected even more, if no response is received to the initial notice, send a second copy after 30 days with the title “SECOND NOTICE.” Then, after 15 more days, send a third copy titled “THIRD NOTICE” and include these words: “By your failure to respond, I/we consider you bound to the terms and requests in the original Notice that require you not to vaccinate my/our child(ren) without my/our informed consent as provided in such Notice.”
7) If anyone threatens any further medical treatment of your child, show them a copy of the correspondence and consider engaging qualified counsel to file an injunction in the appropriate local court.
8) If anyone actually administers medical treatment to your child after receiving the Notice(s), consider engaging qualified counsel to bring an action in the appropriate court for monetary damage for endangerment/harm of your child. You may need to engage a healthcare provider to serve as an expert witness to provide an expert report and/or testimony as to the harm to your child(ren). Your prior notice of no informed consent will add major power to your lawsuit. (Be sure to engage qualified counsel in support of your position and be aware of the possible bias by the court. You may have some choice as to what court/judge may have jurisdiction to hear a case like this.)
Regards,
Jerry Day and Solari Team
By Jerry Day & the Solari Team
___________________ [Parent name], parent and/or legal guardian and/or custodian of
___________________ [Child(ren)’s name(s)], hereby state that I do not give my consent to the taking of any medical action in the nature of a vaccine or similar allegedly virus-preventing physical intervention, by the administration of an injection or otherwise (hereinafter, “Vaccine”), to my above-named minor child(ren) without my express written informed consent, irrespective of my child’s expressed desires regarding administration of the Vaccine. No such “informed consent” shall be deemed to have been given in connection with a contemplated administration of a Vaccine unless the following disclosures have been provided to me at least ____ days in advance of my written consent:
Read the Form for Single-Parents
Related Reading:
Employer & School Disclosure Forms for Covid-19 Injections
Family Financial Disclosure Form for COVID-19 Injections
Permission to Publish
You are encourageed to translate, readapt for your country, jurisdiction or situation and republish as you believe best serves the interests of helping individuals in your country or network exercise their health freedom responsibilities.
Catherine, thank you for everything you’re doing to guide us through this dystopian period.
Does anyone have similar advice or templates for Federal Government employees who are now mandated to “attest” to vaccine status, and if not vaccinated submit to testing?
https://home.solari.com/employer-school-disclosure-form-for-covid-19-injections/
Per the comment – obtain legal counsel:
The Court and the School Board and the system works for the government, therefor they are prejudicial and cannot / may not/ nor can be expected to fairly adjudicate for the people.
Would suggest filing a DIRECT to the individuals, one-by-one, law suit using the 7th amendment relief where you do the presentation and the legal counsel remains SILENT at your side so as not to kill your motion.
See RED BECKMAN video to explains our Rights
https://youtu.be/7_8Xh5UETW0
Well written article by Gary Barnett….heart wrenching…..
https://www.garydbarnett.com/the-test-animals-for-the-elite-controllers-and-the-political-class-babies-and-children/
Hi Erin (and Catherine),
I am currently at court opposing to a motion by my son’s mother to inject him. Needless to say, this is happening after conversations did not go anywhere.
What I can tell you is that they (your children’s father, pediatricians, school director, experts, etc.) will start using the Delta “variant” as the reason why the situation is now riskier than ever and therefore it’s imminent for the kids to take the shot. It is the angle they are pursuing now in my situation.
For instance:
-Even with my son having a history of allergies, his allergist is recommending the shot because the risk of the variant is far higher than that of the shot (and he-was- is a great allergist)
-The school director (private school) is using the same arguments and is going to require weekly PCR tests for non-“vaccinated” students, and other irrational measures.
-The pediatrician also in the same boat.
To summarize, I’m afraid that the liability option will do little to persuade other parties. The variant story has gotten traction and everybody is buying it (dejavú 2020).
I need to tweak these forms to give to my children’s dad. I want to combine the financial form with this one and give it to him… but I want to do it in a non-confrontational manner…. If anyone has already done something like this, I would love to know.
Here is a non confrontational of answering an employer or spouse. Adapt as needed.
If you are being forced to Vax in order to keep your job, here’s a great way to handle it.
The secret is NOT to refuse it…
A friend in the NHS is being pressured to take the jab. This is what he wrote to his employer/Human Resources:
‘I write with regard to the matter of potential covid vaccine and my desire to be fully informed and appraised of ALL facts before going ahead.
I’d be most grateful if you could please provide the following information, in accordance with statutory legal requirements:
1. Can you please advise me of the approved legal status of any vaccine and if it is experimental?
2. Can you please provide details and assurances that the vaccine has been fully, independently and rigorously tested against control groups and the subsequent outcomes of those tests?
3. Can you please advise of the full list of contents of the vaccine I am to receive and if any are toxic to the body?
4. Can you please fully advise of all the adverse reactions associated with this vaccine since it’s introduction?
5. Can you please confirm that the vaccine you are advocating is NOT ‘experimental mRNA gene altering therapy’?
6. Can you please confirm that I will not be under any duress from yourselves as my employers, in compliance with the Nuremberg Code?
7. Can you please advise me of the likely risk of fatality, should I be unfortunate to contract Covid 19 and the likelihood of recovery?
Once I have received the above information in full and I am satisfied that there is NO threat to my health, I will be happy to accept your offer to receive the treatment, but with certain conditions – namely that:
1. You confirm in writing that I will suffer no harm.
2. Following acceptance of this, the offer must be signed by a fully qualified doctor who will take full legal and financial responsibility for any injuries occurring to myself, and/or from any interactions by authorized personnel regarding these procedures.
3. In the event that I should have to decline the offer of vaccination, please confirm that it will not compromise my position and that I will not suffer prejudice and discrimination as a result?
I would also advise that my inalienable rights are reserved.’
The point being though, is that they CANNOT provide that information, but you have NOT refused.