The religious exemption process is straightforward.  Simply use the form above and sign it with a notary. Childhood vaccine requirements are statutory (state law) and there is statutory provision for religious exemption. Schools cannot issue vaccination requirements; they cannot issue restrictions on state law; they are a mechanism to enforce the state law.

▪️A notary is needed only to witness your signature. Most banks offer this as a free service. It may be helpful to have several original copies notarized for each child; parents can keep one on hand.

▪️Submit the form to the school or organization’s administration or health official. There is no need to offer further information or to explain your religious convictions on this matter. It is a stand alone form. Any bully school nurses or others should mind their own business as far as your personal beliefs.

▪️ If you don’t know your rights, some schools and daycares will take advantage of that. Read the statute (captured on this page). It is important to know that nurses, administrators and other officials do not have jurisdiction over the law or your religious convictions.

▪️Please contact us with any questions or issues that arise. We want to hear about any and every case of infringement.

New Hampshire Statute:
RSA 141-C

Be sure to click that link and read section “141-C:20-a” and “141-C:20-cII. If you are not comfortable with reading legislation, there is no time like the present and this is very straightforward.

A licensed physician or authorized health care provider certifies that immunization against a particular disease may be detrimental to the child’s health. The exemption shall exist only for the length of time, in the opinion of the physician, such immunization would be detrimental to the child. An exemption from immunization for one disease shall not affect other required immunizations. This is a Medical Exemption.

A parent or legal guardian objects to immunization because of religious beliefs. The parent or legal guardian shall sign a notarized form stating that the child has not been immunized because of religious beliefs. This is a Religious Exemption.