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Religious Exemption - IN.gov
religious grounds. A religious objection does not exempt a child from any testing, examination, immunization, or treatment required under this chapter or IC 20-34-4 unless the objection is: (1) made in writing; (2) signed by the child's parent; and
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RELIGIOUS IMMUNIZATION EXEMPTION Sample - Missouri
health.mo.govRELIGIOUS IMMUNIZATION EXEMPTION parent/guardian name (print or type) parent/guardian signature date THIS IS TO CERTIFY THAT name of child (print or type) required under the missouri state immunization law (section 167.181, rsmo) of children attending public, private, and