Religious Immunization Exception Form

Regulation 4: Religious Exemption​

1. A parent/guardian may receive a religious exemption to the New Jersey mandatory immunization regulations by submitting a written statement to the school which explains how the administration of immunizing agents conflicts with the pupil’s exercise of religious tenets and practices.
2. Requests for religious exemptions which are not based on religious beliefs and practices will be denied. The New Jersey legislation and regulations have never recognized nor permitted philosophical or moral objections to be reasons for securing a religious exemption. Except for medical and religious exemptions, all children are expected to comply with the school immunization regulations.

​*This is confidential information and the school is not at liberty to divulge information regarding families claiming this exemption.