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Statement of Conscience, Religious Belief or Medical Condition Affidavit Students Name (please print) (Last Name) (First Name) Address (Street) Date of Birth: Year (City) Month Program (Province).

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How to fill out the Statement of Conscience, Religious Belief or Medical Condition Affidavit online

Filling out the Statement of Conscience, Religious Belief or Medical Condition Affidavit is an important process for individuals seeking exemption from immunization requirements at Niagara College. This guide will provide you with clear, step-by-step instructions to help you navigate the online submission of this document with confidence.

Follow the steps to successfully complete your affidavit online.

  1. Click the ‘Get Form’ button to access the affidavit and open it in the online editor.
  2. Begin by entering the student’s name in the designated fields. Make sure to include the last name followed by the first name.
  3. Provide your address, including the street, city, province, and postal code. Ensure all details are accurate to avoid delays.
  4. Enter your date of birth by selecting the year, month, and day in the specified format.
  5. In the program section, indicate your field of study at Niagara College to clarify your enrollment status.
  6. Choose one of the specific statements regarding your request for exemption due to your religious beliefs, medical reasons, or personal conscience. Make sure to select the appropriate option that reflects your situation.
  7. Review the implications of not meeting the immunization requirements. You acknowledge and understand that this may affect your program, employment opportunities, and responsibilities related to health notifications.
  8. Sign and date the affidavit in the designated area. Ensure that your signature is legible to validate your declaration.
  9. Find a commissioner of oaths or a similar authority to witness your signature and confirm your declaration in the specified space.
  10. Once all fields are completed and the document is signed, you can save changes to your file, download it, print a hard copy, or share the form as needed.

Start completing your Statement of Conscience, Religious Belief or Medical Condition Affidavit online today!

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Children need not be immunized if the parent, guardian or emancipated child objects in writing to the immunization on religious grounds or on the basis of a strong moral or ethical conviction similar to a religious belief.

Children with medical or religious exemption to requirements The medical reason for the exemption does not need to be provided. Religious – This exemption requires a signed statement by the parent/guardian that vaccination conflicts with their religious tenets or practices.

Religious exemption laws permit people, churches, non-profit organizations, and sometimes corporations to seek exemptions from state laws that burden their religious beliefs.

Under this act, no employer shall require employees to receive a COVID-19 vaccination as a condition of employment without permitting employees to be exempted for religious, philosophical, medical reasons, including pregnancy, or previous exposure to and recovery from COVID-19.

It is morally wrong to receive a vaccine that used fetal cells in the development stage—the most commonly cited religious objection to the vaccines; The body is a temple that should not receive foreign or unnatural substances, and God will protect the body from sickness; and.

What is a Statement of Conscience or Religious Belief? A Statement of Conscience or Religious Belief form (4897-64E) when completed exempts a child who is in elementary or high school from immunization against the diseases designated under the Immunization of School Pupils Act.

Description. A parent must complete a Statement of Conscience or Religious Belief and have it witnessed by a commissioner for taking affidavits if they wish to obtain a non-medical exemption for their child from vaccine requirements under the Immunization of School Pupils Act. accessibility.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
Privacy Notice
Legal Hub
Content Takedown Policy
Bug Bounty Program
About Us
Blog
Affiliates
Contact Us
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate WorkFlow
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232