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Indoor Dining Location Customer COVID-19 Vaccination ...

other non-religious objection which prevents you from receiving the COVID-19 vaccination. b. The SAMPLE FORM included on the following page may be used, an alternate format may be presented and taken as valid certifications of exemption IF all information on the religious SAMPLE FORM is also captured in any alternate format. 2.

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  Form, Exemption, Samples, Religious, Sample forms, Religious sample form

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