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N.J.A.C. 8:57-4.4 provides an exemption from mandatory immunization for a child in school, preschool, or child care center if the child's parent or guardian submits to the school, preschool, or child care center a written, signed statement requesting a religious exemption from the immunization, pursuant to N.J.S.A.

There is no form for requesting religious exemptions in North Carolina. To claim a religious exemption, the parent or person requesting the exemption must write a statement of their religious objection to immunization, including the name and date of birth of the person for whom the exemption is being requested.

Religious exemption laws permit people, churches, non-profit organizations, and sometimes corporations to seek exemptions from state laws that burden their religious beliefs.

I/we hereby assert that the immunization of this student would be contrary to the religious beliefs of this child. Therefore, this child shall be exempt from the required immunizations under New Jersey administrative Code N.J.A.C.

8:57-4.3 requires a written statement to be submitted to the school, preschool, or child care center by a physician licensed to practice medicine or osteopathy, or an advanced practice nurse who is licensed in any jurisdiction in the United States indicating that the immunization is medically contraindicated for the ...