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AFFIDAVIT OF EXEMPTION ON RELIGIOUS GROUNDS FROM MONTANA SCHOOL IMMUNIZATION LAW AND RULES Student 's Full Name Birth Date Age Sex School: If student is under 18, name of parent, guardian, or other.

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How to fill out the Imgurl 056994818 H 180 C 7 online

Filling out the Imgurl 056994818 H 180 C 7 form online is a straightforward process. This guide will provide you with step-by-step instructions to ensure that you complete the form accurately and efficiently.

Follow the steps to fill out the Imgurl 056994818 H 180 C 7 form.

  1. Click the ‘Get Form’ button to obtain the form and open it in the editor.
  2. Enter the student's full name in the designated field. Make sure to use their legal name as it appears on official documents.
  3. Provide the student's birth date by selecting the appropriate date from the calendar or entering it manually in the specified format.
  4. Indicate the student's age by filling in the age field. This may require simple calculations based on the date of birth if not automatically populated.
  5. Select the student's sex from the available options, ensuring it aligns with the student's records.
  6. Fill in the school the student is attending in the provided space, being sure to include the full name of the institution.
  7. If the student is under 18, include the name of the parent, guardian, or responsible person in the specified field.
  8. Complete the street address and city in the designated field to ensure accurate contact information.
  9. Enter a valid telephone number where you can be reached in the appropriate area.
  10. Review the statement regarding immunization and verify that it reflects your religious beliefs. You must check the appropriate boxes for Diphtheria, Pertussis, Tetanus, Measles, Mumps, Rubella, Polio, and Varicella if applicable.
  11. Read the understanding section thoroughly. Acknowledge the implications of false swearing and the process during disease outbreaks.
  12. Sign the document in the space provided. If the student is 18 years or older, they may sign instead of a guardian.
  13. Date the affidavit by entering the current date of signing.
  14. Ensure the document is subscribed and sworn before a notary public, including necessary signatures and notary information.
  15. Once completed, save the changes, download the document, print it, or share it as needed.

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