This certificate is for the almighty SAINT JOHN IN SCHOOLS PROGRAM! The picture is slightly weird, I mean, where did they get that massive piece of paper? Maybe they had some excess bandages. And if I was slightly better at taking pictures then you would see the impossible sand castle*. Anyway, I am a doctor now. Yay.
*It's got sticking out bits! Made of yellow sand! Yellow sand can't hold it's shape, you need wet sand that's dried out in that shape! Pomegranates!