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Uncategorized

April 15, 2026

Malibu Residents Stand Up Against 5G Transmitters Near Homes

January 05, 2026

Breaking: HHS Makes Sweeping Changes to Childhood Vaccine Schedule

December 10, 2025

Protect your Parental Rights AB 495 Opt-Out Form

January 16, 2025

We Stand With Los Angeles : Resources

May 09, 2024

Spring Event / April 20, 2024

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VACCINE INJURY

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SECTION A
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I AM A CONCERNED (CHECK ALL THAT APPLY)
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WHAT IS YOUR CONCERN (CHECK ALL THAT APPLY)
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- VACCINE MANDATE
- MASK MANDATE
- PCR TEST MANDATE
- VACCINE INJURY
FULL LEGAL NAME*
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HAVE YOU SPOKEN WITH OR HIRED A LAWYER BEFORE ON THIS ISSUE?*
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SECTION B
EMPLOYER MANDATE
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School Mandate

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SECTION A
CONTACT INFORMATION / GENERAL INFORMATION
WHO HAS A LEGAL CONCERN?*
- SELF
- MY CHILD
HOW MANY CHILDREN?
I AM A CONCERNED (CHECK ALL THAT APPLY)
- Select All
- PARENT
- TEACHER
- SCIENTIST
- ADMINISTRATOR
- HEALTH PRACTITIONER
- GRANDPARENT
- OTHER
WHAT IS YOUR CONCERN (CHECK ALL THAT APPLY)
- Select All
- VACCINE MANDATE
- MASK MANDATE
- PCR TEST MANDATE
- VACCINE INJURY
FULL LEGAL NAME*
First Middle Last
CONTACT PHONE*
PHONE
CONTACT EMAIL*
Address*
Street Address Address Line 2 City State ZIP Code
COUNTY
HAVE YOU SPOKEN WITH OR HIRED A LAWYER BEFORE ON THIS ISSUE?*
- NO
- YES
SECTION B
SCHOOL MANDATE
HAS YOUR CHILD’S ATTENDANCE IN SCHOOL BEEN THREATENED IF YOU DO NOT COMPLY?
- NO
- YES
IF “YES” HAS THE THREAT BEEN
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- VERBAL
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Uncategorized

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VOLUNTEER SURVEY

VACCINE INJURY

SECTION A

SECTION B

Section C

SECTION D

EMPLOYER MANDATE

SECTION A

SECTION B

School Mandate

SECTION A

SECTION B