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Application for Certified Identification Card
from High Vibrations Academy
Common Law Venue

Obtaining a High Vibrations Academy Certified Identification Card requires that you: 1) provide some basic information for your identification card, 2) agree with the twelve elements of the High Vibrations Horizons, 3) provide your right thumb print and signature certifying the veracity of numbers 1 and 2 above, 4) provide two (2) passport photographs of yourself taken within the last 30 days, and 5) a contribution of $25.00 (USD) in the form of a money order (such as a postal money order or Western Union money order) or cashiers check.

Part I.
Please clearly provide the following information:

Common Law Appellation                                                                     

First Name:___________________________________________________________________________
                              (Include middle names if desired.)
 
Family Name:__________________________________________________________________________

Location of Reference

Street:_________________________________________________ City_________________________
                                                                    
state Republic:__________________________________________ Postal Zone:________________

Description

Gender:    [ ]Male     [ ]Female                    Hair Color:________________________ 
Eye Color:      [ ]Blue       [ ]Brown       [ ]Gray        [ ]Green       [ ] Hazel

Height:_________________ Weight(in lbs.):__________________ Date Born:_________________

= = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = = 
In case we need to communicate with your about your ID Card, please provide your:

Email:_______________________________________ Telephone________________________________
Note: Your email and telephone number will not appear on your ID card and are not 
shared with third parties.
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Do you have a preference for your ID card number to reduce to a certain (favorite) number from 1 to 9, 11, or 22? [ ]Yes [ ]No
If "Yes," please specify what number you would like your ID number to reduce to:__________

Part II.
Please read the following twelve elements of the High Vibrations Horizons, and if you agree with them, then provide your signature, in the presence of two witnesses as indicated below, to certify the veracity of the information provided in Part I, above, and your agreement with the High Vibrations Horizons.

High Vibrations Horizons

As part of this application, I declare that I support the High Vibrations Horizons consisting of the following resolutions:

  1. To be aligned with Light and Love. To call on one's best discernment to be so aligned.

  2. To design one's life so that it be fun and personally rewarding.

  3. To focus on what one has in common rather than on one's differences when participating with others.

  4. To support all truth seekers as comrades on the various paths of truth.

  5. To facilitate one's personal conscious evolution and that of humanity in general, as the purpose of High Vibration activities is to increase people's aliveness, personal growth, and amplitude of understanding.

  6. To live in harmony with the earth's ecosystem.

  7. To view others, the world in general, as well as to mediate and reconcile conflict, from the vantage point of the heart.

  8. To realize that diversity can co-exist in harmony. To respect the personal truths of others while knowing that one has the right to one's own truths. To foster freedom of thought and creativity.

  9. To advocate kindness to animals. To view the slaughter of animals as unnecessary, except in situations where one's survival depends on it.

  10. To recognize that one has unenumerated Unalienable Rights, among which are the rights to Life, Liberty, and the Pursuit of Happiness, and that one is free to do as one wishes so long as one's actions do not infringe on the Rights of others.

  11. To have a positive view of sexuality. To recognize that consenting individuals have the right to freedom of sexual expression as they define it.

  12. To seek more to create a harmonious, abundant world rich in aesthetics through which it is beautified, and knowing through which it is enlightened, rather than attempt to save the world of perceived shortcomings. To create a world of beauty, enlightenment, altruism, and freedom.

* * *

I, ______________________________, certify under penalty of perjury under the laws of the united states of America that the above descriptive information about myself is correct; and furthermore, that I agree with and support the above-listed twelve elements of the High Vibrations Horizons. Executed on ________________________, 20____.




                                            PLEASE PROVIDE YOUR SIGNATURE IN
                                            THE SPACE BETWEEN THE TWO LINES.
                      ______________   _________________________________________
                     |              |
                     |              |
                     |              |
                     |              |
                     |              |  _________________________________________
                     |              |   Signature
                     |              |
                     |              |  ________________________________________
                     |              |  Please print your name clearly
                     |______________| 
                     RIGHT THUMB PRINT

Use separate sheet of paper if thumb print does not come out clearly.
WITNESSES
____________________________ Republic ) ____________________________ County ) ss The above signatory, known to each of us (or satisfactorily evidenced) to be of such identity as so indicated above, did personally appear before us, the undersigned witnesses, and subscribed his/her name to the foregoing, as his/her free act and deed for the purposes and considerations herein expressed. Subscribed and sworn to before us this _____ day of ______________________, 20____. In WITNESS WHEREOF we have set our signatures:


_______________________________________    ______________________________________
Witness signature (above line)             Witness signature (above line)


_______________________________________    ______________________________________
Print name (above line)                    Print name (above line)

Part III.
[  ] I have included with this application two (2) passport photographs of myself taken within the last 30 days for use on the identification documents.

Part IV.
[  ] Enclosed is a $25.00 (USD) contribution money order (i.e., postal money order or Western Union money order) or cashiers check. Make your contribution payable to and send to:


Roland Campos
General Manager
High Vibrations Academy
3311 Mission Street
San Francisco, California. [94110]