Join Date: May 2005
Location: West Des Moines Iowa
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|In accordance with the provisions of (STATE) Code §§ ______, I hereby affirm that the administration of vaccines, immunizing agents, and PPD tuberculin skin testing to my child, (NAME), is contrary to our personal religiousbeliefs.
State Code §§_____ states the following:
(b) Religious exemption. Children need not be immunized if the parent, guardian or emancipated child objects in writing to the immunization on religious grounds or on the basis of a strong moral or ethical conviction similar to a religious belief.
As you are aware, my son (NAME), received his last immunization at age five. However, since that time, our personal religious belief, including our
relationship with the Divine, have vastly evolved and our family no longer relies on immunizations in order to prevent disease.
While it may appear at the moment I have plenty of time to submit this exemption and technically my son is “up-to-date”, recent governmental immunization recommendations strongly indicate additional immunizations and/or testing may be added to the list of school attendance requirements between now and sixth grade.
Therefore, I am submitting his exemption at this time.
Kindly acknowledge this letter with a written response so that I may have a record for my files.
Thank you for your assistance.