This form allows parents to request exemption from vaccines for their child based on religious beliefs. It outlines the risks of forgoing vaccines.College enrollment in Minnesota requires either vaccination records, a medical exemption from a doctor or a notarized conscientious exemption from the student. By my signature, I confirm that this child will not receive the vaccines marked with an X in the table because of my beliefs. The University needs the information on this form to evaluate and document your right to a religious exemption. This document is a religious exemption form for immunizations. It allows parents to opt-out of vaccinations for their children based on religious beliefs. We've provided a request form template for you to download and fill out here. Minnesota law requires children enrolled in school to be immunized against certain diseases or file a legal medical or conscientious exemption. Look for your child's grade in the chart below and see how many total doses of each vaccine are needed for their grade.