Mississippi Parents for Vaccine Rights Member Form

MS Parents for Vaccine Rights. Member Form. All Members.

Name *

Email Address *

Facebook Name *

Cell Phone Number *

We will be sending out text alerts/calls to action.

Do you give permission for us to send you text alerts? *

Yes

Mailing Address *

We need this to send out information and literature pertaining to our cause.

Your County *

(Enter N/A if not in MS)

Who is your House Representative? *

You can find this info here: http://openstates.org/ (Enter N/A if not in MS)

What House District are you registered to vote? (This will be a number) *

Find Here: http://openstates.org/ (Enter N/A if not in MS)

Who is your Senate Representative? *

You can find this info here: http://openstates.org/ (Enter N/A if not in MS)

What Senate District are you registered to vote? (This will be a number) *

Find Here: http://openstates.org/ (Enter N/A if not in MS)

Have you reached out to your legislators?

Please Explain.

Please share any contact info that you have for your legislators.

Have you joined our main group page?

Found here: https://www.facebook.com/groups/mpvrbethevoice/

Yes

No, but doing it now!

Have you "liked" our open community page?

Found here: https://www.facebook.com/MSParentsForVaccineRights?fref=ts

Of course :)

No, but doing it now!

Clear selection

Are you a member of your regional group? Please mark which group you are in. *

You should only be a member of ONE regional group. If you are not sure which group you belong in, please pm an admin.

NE Mississippi Chapter https://www.facebook.com/groups/379743825511697/?hc_location=ufi

Central Mississippi Chapter https://www.facebook.com/groups/1640378552853199/?hc_location=ufi

Greater Hattiesburg Area Chapter https://www.facebook.com/groups/1567678863443512/?hc_location=ufi

Mississippi Delta Area Chapter https://www.facebook.com/groups/1578311229063541/?hc_location=ufi

North Mississippi Chapter https://www.facebook.com/groups/301023440093257/?hc_location=ufi

SW Mississippi Chapter https://www.facebook.com/groups/334863450029129/?hc_location=ufi

Golden Triangle Chapter https://www.facebook.com/groups/894156583934328/?hc_location=ufi

Gulf Coast Chapter https://www.facebook.com/groups/766826043381176/?hc_location=ufi

MPVR Nationwide https://www.facebook.com/groups/1665333490390765/

I do not know. I am waiting to find out from an admin.

Have you been to our MPVR blog? You will find a lot of helpful info here, including our talking points to share with legislators.

Found Here: http://www.bethevoice.typepad.com/

Absolutely!

No, but will check it out now!

Clear selection

Do you have any special talent, work experience, etc that you feel like would help us in our fight to gain parental rights in MS?

Would you be able to make a trip to the capital in Jackson on our lobbying days?

We will be making trips January-March 2016. Dates will be shared in the group. We plan on starting a car pool and sharing expenses.

Do you understand that our group is for Parental Rights?

We have members in our group that fully vaccinate, selectively vaccinate, vaccinate on a delayed schedule, or do not vaccinate at all. We ask that all members are respectful of others' decisions.

Definitely

I'm not sure..

Clear selection

Any additional questions or concerns?

Do you have a personal vaccine injury story that you would like to share for our blog?

Do you agree to follow the rules of this group? We all come from different backgrounds and have different stories. We have different stances on many issues but we are all aligned in this fight.

Please check off the ones that you have agreed to. Please read through them carefully. Remember, the admins of this group are not paid but are VOLUNTEERING THEIR VALUABLE TIME. If something is missed that needs to be addressed, kindly let an admin know privately. An offensive post/comment by one or two members doesn't reflect the entire one thousand plus members. When we each decide to take our toys and go home because we don't like what so-and-so said, WE LOSE. Thick skin is a requirement to winning in politics.

The mission of Mississippi Parents for Vaccine Rights is to change our state vaccine laws to include non medical vaccine waivers to the mandated vaccination schedule, especially through the legislative process, as well reaching out to the general public and legislature to educate and raise awareness of the reasons compelling us to our mission. PLEASE STAY ON TOPIC. Since our group continues to grow, we will delete posts that do not relate to our purpose in order that members can quickly access posts more pertinent to our cause.

Name calling, personal attacks, prejudice and hate will not be tolerated. You will first be warned then removed from the group.

We will no longer permit recommending doctors or clinics within the group. While we understand and empathize with the how difficult it has become to find a respectful doctor, this group is about effecting change in our vaccine laws. Physician referrals are beyond our scope and purpose and serve as a distraction. In addition, we do not believe those friendly to us would appreciate us broadcasting them publicly. If you would like to ask friends in the group about physicians, please feel free to do so *privately*.

Foul language is strongly discouraged. Some of us have children in this group. Repeat offenders will be warned, then removed from the group.

Any religious expression in the group should pertain to the cause. We will not be censoring religious posts/comments regardless of religion. If a religious post doesn't apply to you personally please keep scrolling. We are a diverse group whose common thread is vaccine rights. We will be respectful and tolerant of one another.

Since we are politically engaged, political posts regarding VACCINATION RIGHTS are allowed and encouraged. However, our group is comprised of people from the entire political spectrum so please refrain from posting for or against other political causes/parties unless it relates to our purpose.

We are not are not able to give medical advice, nor can we allow medical advice to be given in the group. Pointing someone to good resources is fine and strongly encouraged. Please refrain from telling anyone how to vaccinate or prevent/treat illness.

Sharing of events for the purpose of outreach into the community to grow our base is encouraged. If the event shared is not one that you agree with or want to attend, please just move along. Growing our active membership is top priority.

We have a zero tolerance for bashing healthcare professionals or our legislators. Any post/comment of this nature will be deleted, the party responsible will be warned, and a repeat offense will result in permanent removal from the group.

We strongly suggest that you use great caution when discussing your child's vaccination status publicly. Our group is getting quite large. This suggestion is for your protection.

I have read all of the rules thoroughly and agree.

Please consider making a donation of any amount. Every little bit helps! Thank you in advance!

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