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Arizona state religious exemption

Beliefs exemption 2026

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4.8 out of 5

169 votes

The document outlines Arizona's requirement for preschools and child care facilities to use an official form to request a religious beliefs exemption from immunizations. It emphasizes the importance of vaccinations in preventing serious diseases while acknowledging parents' rights to refuse them based on religious beliefs. The form details various vaccines, associated risks of not vaccinating, and the implications of opting out, including potential exclusion from child care during disease outbreaks.

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Click ‘Get Form’ to open the beliefs exemption document in the editor.
Begin by reviewing the list of diseases for which you are requesting an exemption. Place an 'X' in the box next to each disease your child is exempting from vaccination.
For each selected disease, initial in the space provided to acknowledge that you understand the risks associated with not vaccinating your child. Ensure you also date this acknowledgment.
In the section at the bottom, provide your child's name and date of birth. This information is crucial for proper identification.
Finally, sign as the parent or guardian and date your signature. This confirms your request for a religious beliefs exemption.

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Versions	Form popularity	Fillable & printable
2018	4.8 Satisfied (169 Votes)
2016	4.3 Satisfied (185 Votes)
2013	4 Satisfied (67 Votes)

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