The following forms are provided by the FreedomTaker website as possible ways to assert your rights and authorities concerning vaccinations.  Please provide your own research and discretion regarding this type of information.  We are happy to post much needed data on topics such as these and therefore welcome your suggestions and input.


Disclaimer: The contents and downloads on this web site are not legal advice or legal services. This content is exclusively the opinion of the content contributors of this web site.

Free Download Documents
(MS Word Format)
The best way to claim and protect your rights is IN WRITING. The free download documents here have value and utility for anyone who wishes to secure their lives and protect themselves and their families from a rigged and hostile civic and corporate infrastructure.

These documents provide answers, claims and notice to many of the bad actors and wrongdoers in government and corporations who think it is their privilege to violate your rights, seize your wealth and property, invade your privacy and assault your health and safety.

When you are silent, when you fail to clearly state your position on the record, you are presumed to agree with whatever is being done to you! You are presumed to be a servant, slave and ATM card to the system. These documents help you correct that problem.

Vaccine Conditional Acceptance

This document “accepts” vaccination on the condition that ALL administrators of that vaccine accept that there are risks and accept personal liability for all harm they cause with their vaccine. They will not sign it because they know vaccines are hazardous. When they refuse to sign, that is their admission of risk, and, with that admission, you may rightfully refuse the vaccine. A more complete explanation of this vaccination notice is below.

Vaccine Refusal

We may soon be facing “mandated” vaccines. Those who have studied vaccines know that vaccines come with severe hazards and we must resist and oppose unlawful forced medical treatments. This document is “Refusal For Cause” to be given to anyone who threatens to force medical treatment on us.

Source: FreedomTaker

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Disclaimer: We at Prepare for Change (PFC) bring you information that is not offered by the mainstream news, and therefore may seem controversial. The opinions, views, statements, and/or information we present are not necessarily promoted, endorsed, espoused, or agreed to by Prepare for Change, its leadership Council, members, those who work with PFC, or those who read its content. However, they are hopefully provocative. Please use discernment! Use logical thinking, your own intuition and your own connection with Source, Spirit and Natural Laws to help you determine what is true and what is not. By sharing information and seeding dialogue, it is our goal to raise consciousness and awareness of higher truths to free us from enslavement of the matrix in this material realm.


  1. I applaud everyone involved in creating and sharing these documents – thank you!

    Do you have any similar we could use for mandatory mask wearing? e.g. a conditional acceptance to wear a mask if the person trying to force us signs?

  2. Hi
    I am very concerned about my daughter. She is 6 years old and attending school.
    My concern is If someone comes into the school to give the children mandatory covid vaccines how do we stop it.
    I have the copies of the forms but who so we send them to through certified mail.
    If I send it to the school and the principal doesnt show the forms to the person administering the shot then they will give her the shot.
    How do i make sure all people involved are notified of the signed forms

  3. Any body ever hear of James Gilliland, and Langenburg water, and Gans water, you need to do your research!!!! Don’t believe in this scamdemic.


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