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South dakota religious exemption form 2026

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The document outlines the process for obtaining a vaccination exemption in South Dakota based on religious beliefs, as per South Dakota Statutes § 13-28-7.1. It includes a vaccine exemption form that parents can fill out to certify their refusal of vaccinations for their child due to personal religious convictions. Additionally, it discusses the importance of making informed decisions regarding vaccinations, potential risks associated with vaccines, and the benefits of non-vaccination. The document encourages thorough research and provides resources for further information on vaccines and childhood diseases.

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Click ‘Get Form’ to open it in the editor.
Begin by entering your name in the designated field where it states 'I,_______, as the parent, guardian or person in loco parentis of the child ________.' Ensure you provide your child's name accurately.
In the section listing vaccines, check all applicable boxes that indicate which vaccinations you are exempting your child from. This includes options like Diphtheria, Tetanus, and Measles.
Sign and date the form at the bottom where it states 'Parent __________ Date ______'. If there are two parents or guardians, ensure both sign.
Finally, have the document notarized by signing in front of a notary public who will complete their section with a signature and seal.

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