Nevada:  Religious Exemption from Immunization Form

religion - a strong belief in a supernatural power or powers that control human destiny

religion - A set of rituals, beliefs, and rules based on a specific philosophy

NOTE:  the government, and it's entities (including public schools) abides by this definition of religion, hence belonging to an organized or recognized religious institution IS NOT required for religious expemtion.  It is a violation of your civil rights and illegal for the school district to ask you what your religion is or demand a letter from your clergy.  Some religions are not recognized by the United States, nor do some have any clergy.  However, The Birth Source urges to to be honest, sincere and genuine in using your religious beliefs for exemption purposes.

Feel free to copy and paste this into your own document. 

Written Statement Claiming Religious Exemption from Vaccination

To Whom It May Concern:

Pursuant to Nevada Revised Statutes (circle the one that applies)

392.435/392.437 (Public School)

394.192/394.193 (Private School)

432A.230/432A.240 (Child Care)

422.2932 (Recipients of public assistance)

we/I respectfully submit this written statement that our/my genuine

and sincere religious beliefs prohibit us/me from

vaccinating/immunizing our/my child from any or all immunizations, ________________________

(child's name), born _____________ (child's birth date).

(Optional)  Our religious beliefs, however, allows us to accept medical assistance for said child if an emergency arises ie a playground accident.

Sincerely,

______________________________________________________________________

(Parent Signature) (Print Parent Name) (Parent Address)

______________________________________________________________________

(Parent Signature) (Print Parent Name) (Parent Address)

NRS 392.437 Immunization of pupils: Exemption if prohibited by

religious belief. A public school shall not refuse to enroll a child

as a pupil because the child has not been immunized pursuant to NRS

392.435 if the parents or guardian of the child has submitted to the

board of trustees of the school district or the governing body of a

charter school in which the child has been accepted for enrollment a

written statement indicating that their religious belief prohibits

immunization of such child or ward.

NRS 394.193 Immunization of pupils: Exemption if prohibited by

religious belief. A private school shall not refuse to enroll a

child as a pupil because such child has not been immunized pursuant

to NRS 394.192 if the parents or guardian of such child have

submitted to the governing body a written statement indicating that

their religious belief prohibits immunization of such child or ward.

NRS 432A.240 Exemption from immunization when contrary to religious

belief. If the religious belief of a child's parents or guardian

prohibits the immunization of the child as required by NRS 432A.230,

a written statement of this fact signed by the parents or guardian

and presented to the operator of the facility exempts the child from

the provisions of that section for purposes of admission.

NRS 422.2932 Recipients of public assistance: Immunization of

dependent children.

Subsection 3. The welfare division shall waive the requirements of

subsection 1 if the failure to immunize a dependent child is because

of a religious belief or medical condition and the recipient submits

to the welfare division a written statement of that fact in the

manner specified in NRS 432A.240 or 432A.250 for admission to a

child care facility.