South Dakota Religious Exemption Form

Name: South Dakota Immunization Exemption Form - Fill Out and Sign Printable PDF Template | signNow
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Polio Hepatitis B Smallpox Measles Other TB test Mumps Rubella Haemophilus influenzae type b Varicella Anthrax This is pursuant to my right to refuse vaccination on the grounds that vaccinations conflict with to our child s school administrator or operator of the group program pursuant to South Dakota Statues. 13-28-7. 1 2 Parent Date Subscribed and Sworn before me this day of 20. Notary s Signature and Seal Making Informed Decisions Your decision to vaccinate or not should be an informed...

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