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Vaccine Religious Exemption Form









Please be informed that we are opting for a religious exemption from vaccinating our children. Our legal rights are guaranteed by the free exercise clause of the First Amendment to the U.S. Constitution.  Recent court decisions have upheld the rights of individuals seeking exemptions from immunizations based upon personal and religious reasons.  On the U.S. Supreme Court level in Frazee V. Illinois Dept. of Security, 489 U.S. 829, it was found that a state may not deny an exemption simply because a person is not a member of a formal religious organization.

In addition, the Supreme Court in Fowler v. Rhode Island, 345 U.S. 67 (1953) held that it was "no business of the courts to say what is a religious practice or activity for one individual is not religion under the protection of the First Amendment."  Furthermore, in United States v. Ballad, 322 U.S. 78 (1944) the court ruled that religious teachings could not be prosecuted for fraud. The beliefs of one person may seem preposterous to another, but religious liberty demands the widest toleration of conflicting views.

"Research or experimentation on the human being cannot legitimate acts that are in themselves contrary to the dignity of persons and to the moral law.  The subjects' potential consent does not justify such acts.  Experimentation on human beings is not morally legitimate if it exposes the subject's life or physical and psychological integrity to disproportionate or avoidable risks.  Experimentation on human beings does not conform to the dignity of the person if it takes place without the informed consent of the subject or those who legitimately speak for him."
Catechism of the Catholic Church page 552, section 2295.

"Hep B vaccine policy illustrates the government's use of all children as medical research guinea pigs. 
Babies and pre-adolescents are targeted for hepatitis B vaccination because, according to the CDC, "efforts to vaccinate persons in the major risk groups (promiscuous homosexuals, heterosexuals, and intravenous drug abusers) have had limited success."  The CDC emphasizes that it will take 20 to 30 years of routine infant and pre-teen hepatitis B vaccination to determine if the campaign actually results in decreased incidence of disease."
Article in the Catholic Twin Circle by Kristine M. Severyn RPh, PhD on vaccinations as experimentation:

Our personal research has led us to find particularly disturbing information revealed was the making of some vaccinations, especially the rubella and chicken pox vaccine. The rubella and chicken pox vaccine are grown in aborted fetal tissue.  Other vaccines are grown in animal tissues that would be injected with animal proteins, RNA, DNA, and other blood fractions.  There is definitive research that suggests that injecting or ingesting such vaccines is extremely dangerous.

Our religious beliefs about vaccines

“We believe in God, and that God has created us in his image. In being created in God’s image, we are given his perfect immune system. We are bestowed with His gift, the immune system. We believe it is sacrilegious and a violation of our sacred religious beliefs to violate what God has given us by showing a lack of faith in God. Immunizations are a lack of faith in God and His way, the immune system.”

“We believe in Jesus’ many promises of protection for us, and the He loves us, and will take care of us if we place our trust in Him. I believe that immunizations show no faith in God’s promises of protection for us, saying to God that you trust man more than His holy words of protection for us.”

“God desires us to love Him and our neighbors first and foremost. This is His first command. By loving Him, we are to fully trust on Him for all things. He is our Lord Father. He is our Rock, our fortress and our Savior.”

“Our faith is in God and in the Holy Word, being the Holy Bible which is authored by God. This is the instruction book for living that He has left us and in it He tells us He is our protector and we stand firm on His promise. Our faith is in Him!”

“Know ye not that your body is the temple of the Holy Ghost which is in you, which ye have of God and ye are not your own?” (1st COR 6:19)

“That your faith should not stand in the wisdom of men, but in the power of God.” (1st COR 2:5)

“You must know that your body is a temple of the Holy Spirit, who is within the spirit you have received from God. You are not your own.” (1st COR 6:19)

“As a consequence, your faith rests not on the wisdom of men but on the power of God.” (1st COR 2:5)

“I know with certainly on the authority of Lord Jesus that nothing is unclean in itself: it is only when a man thinks something unclean that it becomes so for him.” (Romans 14:14)

“If anyone destroys God’s temple, God will destroy him. For the temple of God is holy, and you are that temple.” (1st COR: 3:17)

“For to his angels he has given command about you, that they guard you in all your ways.” (Psalms 91:11)

“Follow God your Lord, remain in awe of him, keep His commandments, obey and serve Him and you will then be able to cling to Him.” (Leviticus, 19:1,2)

Child to be exempted: _______________________________

Signed on this date ______________

Parent ____________________________                Parent __________________________



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