To obtain a RELIGIOUS EXEMPTION, please describe the religious principles that guide your objection to immunization. Request a religious exemption for immunizations based on sincere religious beliefs (complete the Authorization for Release of Medical Information form).You need to briefly explain your religious history and religious beliefs and why these beliefs prevent you from taking the COVID-19 vaccines. I have a sincerely held religious objection to the Covid vaccine and I am respectfully asserting my right to a religious exemption from this vaccine mandate. I request a religious exemption based on my sincere religious beliefs. Only medical and religious exemptions are acceptable. Two states, Louisiana and Minnesota, do not specify whether the nonmedical exemption must be for religious or personal reasons. Massachusetts students must provide documentation of immunization according to school requirements, or request a medical or religious exemption. In order to request a religious exception, please fill out this form.