• Your name and complete mailing address where you want to forms to be mailed to.
Mail this information to: Department of State Health Services; Immunization Division; 1100 West 49th Street; Austin TX 78756.
If you do not live in Texas, you can find information about the exemptions in your state and how to contact support groups, if your state has one or more, at: State Exemption Information Please check out this link and note what it takes to file an exemption in YOUR state and apply the information to meet your needs.
Below are several examples of religious
exemptions and some information that may assist you in refusing
vaccinations for yourself and your children from a religious or philosophical standpoint. You may also want to check out the Religious and Philosophical
Exemption Worksheet for some
additional guidelines.
- Name
- Address
- Phone
- Religious Exemptions Regarding Vaccinations Concerning:
- Name
-
In accordance with (your state's law reference), we hereby certify that the administration of vaccine and other immunizing agents to our child,____________________, conflicts with our sincerely held religious beliefs.
We therefore require that our child be exempted from the school
immunization requirements in accordance with the exemption clause found in the above mentioned section of our state's Administrative Code.
We are informed of and we fully understand
the risks of non-immunization for our child. We swear that all of the
foregoing statements are true to the best of our information,
knowledge, and belief.
Parent ________________________ Date
_________
Parent ________________________ Date
_________
Subscribed and Sworn before me this _____
day of ___________, 19____.
- _______________________
- Notary's Signature and Seal
-
- (Location of your state's law concerning vaccination)
- (Include the actual wording of your state law as contained on their web site. Those who will argue with you about the law are generally ignorant of the exact wording of the law.)
A Proclamation on
Vaccinations
- TO WHOM IT MAY CONCERN:
- BE IT KNOWN, BASED UPON THE TEACHINGS OF
THE BIBLE, IT IS OUR RELIGIOUS CONVICTION NOT TO HAVE OUR CHILDREN
VACCINATED.
Public Law 97-280, passed by the 97th
Congress of the United States of America, declares the Bible to Be
the "Word of God" and directs citizens to "study and apply the
teachings of the Holy Scriptures. "The Bible teaches that the
truthfulness of an issue is to be sought and should stand on no less
than two or more witnesses (Deuteronomy 19:15). A diligent search for
truth on the safety and effectiveness of vaccinations reveals there
are many studied, informed and qualified witnesses who have found and
teach that there are serious health risks involved with vaccinations.
Even Senate Bill 732 before the 103rd Congress of the United States
known as the "Comprehensive Child Health Immunization Act of 1993",
made known the fact that there are risks to vaccines. The following
words are from that bill: Vaccine information materials should be
simplified to ensure that parents can understand the
benefits and
risks of vaccines (emphasis
added).
THEREFORE BE IT KNOWN THAT WE HAVE CHOSEN
NOT TO SUBJECT OUR CHILDREN TO THE RISKS OF VACCINATION. TO DO
ANYTHING LESS WOULD BE IRRESPONSIBLE AND SINFUL TO US AS CHRISTIAN
PARENTS.
The Bible teaches that there are clean and
unclean animals and acts, and that God's people are not to do the
unclean. Furthermore, the Bible teaches that we shall keep the blood
pure, and keep the seed from being mixed.Obviously, when genetic
materials from bacteria, viruses, yeast, animals, birds, and other
humans are injected into us and our children during routine
vaccination, the blood gets contaminated, and genetic changes occur.
These changes, according to reputable scientists, can even lead to
cancers. God warned not to do this.
THEREFORE BE IT KNOWN THAT WE HAVE CHOSEN
NOT TO HAVE OUR CHILDREN VACCINATED. TO DO SO WOULD BE TO VIOLATE
THESE TEACHINGS OF THE BIBLE.
The Bible teaches that we are not to harm or
wrong our neighbor (Romans 13:10: James 2:8). Our decision to decline
vaccinations does not wrong or threaten our neighbor. If vaccinations
are truly effective then vaccinated neighbors would be in no danger
from someone who is not vaccinated.
THEREFORE BE IT KNOWN OUR DECISION TO NOT
HAVE OUR CHILDREN VACCINATED DOES NOT ENDANGER OR HARM OUR NEIGHBOR
AND THUS OUR NEIGHBOR HAS NO JUST CAUSE TO EVER TRY TO FORCE
VACCINATIONS UPON OUR CHILDREN.
The Bible teaches children are a gift from
God to the parents (Psalm 127:3) and further teaches the parents (not
the state) are entrusted with the care and welfare of the child (I
Timothy 5:8). The Bible also teaches there have been times in history
when evil government, and government employees, have attempted
through force, intimidation, color of law to harm and destroy the
children of God's people (Exodus I and 2 and Matthew 2).
THEREFORE BE IT KNOWN THAT WE HAVE CHOSEN TO
DO OUR GOD GIVEN DUTY AND RESPONSIBILITY TO PROTECT AND DEFEND OUR
CHILDREN FROM ANY SUCH FORCE OR INDIVIDUALS BENT UPON SUBJECTING OUR
CHILDREN TO THE RISKS OF VACCINES.
The Bible teaches that when man's law
contradicts God's Law, His people must obey God over men. But Peter
and the apostles answered and said, '"We must obey God rather than
men." (Acts 5:29) There is much Bible Case Law in support of this
position such as Daniel Vs Darius (Daniel 6) and Shadrach, Meshach
and Abednego Vs Nebuchadnezzar (Daniel 3:13). Concerning the safety
of children, both the Hebrew midwives (Exodus 1) and the parents of
Moses (Exodus 2) refused to obey the law of man that put the children
in peril. By faith Moses, when he was born, was hidden for three
months by his parents, because they saw he was a beautiful child; and
they were not afraid of the king's edict. (Hebrew 11:23)
THEREFORE BE IT KNOWN SHOULD ANY POLICY,
EDICT, OR LEGISLATION OF MAN DECREE OUR CHILDREN MUST BE VACCINATED,
WE MUST AND WILL OBEY GOD RATHER THAN MAN, AND AS MOSES' PARENTS OF
OLD, WE WILL DO SO WITHOUT FEAR.
The Bible teaches that God's people are to
be humble, peaceful and desirous of a tranquil and quiet life (I
Timothy 2:2) and to do all they can to be at peace with others. If
possible, so far as it depends on you, be at peace with all men.
(Romans 12:18) However, the Bible also teaches that if and when
anyone (be it Indians in the 1800's or government bureaucrats in the
1900's) attempts to harm or to take one's children or family members,
one must respond appropriately. In the case of the Bible story of
Abraham's nephew Lot
being taken by kings men, there were very
severe consequences incurred by them. (Genesis 14 and Romans
15:4)
THEREFORE, BE IT KNOWN THAT WE DESIRE TO BE
AT PEACE WITH THOSE WHO MAY FEEL, OR THINK, DIFFERENTLY THAN WE ON
THIS ISSUE OF VACCINATIONS. THAT IS WHY WE HUMBLY EXPLAIN OUR CHOICE
TO ABSTAIN. LET IT ALSO BE KNOWN THAT IF ANYONE EITHER DIRECTLY OR
INDIRECTLY ATTEMPTS TO FORCE VACCINATIONS UPON US OR OUR CHILDREN, OR
ATTEMPTS TO TAKE THEM, OR ANY FAMILY MEMBER WHO DEFENDS THEM, AWAY,
THEN WE WILL DEFEND OURSELVES AND OUR FAMILY TO THE FULLEST EXTENT OF
GOD'S LAWS.
Humbly and peacefully submitted with
obedience to, and trust in, the Holy Bible.
_____________________________________
Information About Applied
Religious Exemptions
Our legal rights are guaranteed by the free
exercise clause of the First Amendment to the U.S. Constitution.
States can only go against this if they can prove a compelling state
interest is at stake. But recent court decisions have upheld the
rights of individuals seeking exemptions from immunizations based
upon "personal" religious beliefs. [Sherr and Levy vs. Northport
East-Northport Union Free School District, 672 F. Supp. 81,
(E.D.N.Y., 1987); Allanson vs. Clinton Central School District, U.S..
District Court, Northern District Court, Northern District of New
York (84 CV 174), 1984; Campain vs. Marlboro Central School District,
Supreme Court Ulster County Special Term, November 15, 1985; Brown
vs. City School District, 429 NYS2d 355; Maier vs. Besser, 73 Misc.2d
241].
On the U.S. Supreme Court level in Frazee v.
Illinois Dept. of Security, 489 U.S. 829, 1989, it was found that a
state may not deny an exemption simply because a person is not a
member of a formal religious organization. In addition, the Supreme
Court has noted that nontraditional beliefs, including secular
humanism, atheism, and nontheistic faiths, are all "religion" for the
purpose of free exercise analysis. The Supreme Court in Fowler v.
Rhode Island, 345 U.S. 67 (1953) held that it was "no business of the
courts to say what is a religious practice or activity for one group
is not religion under the protection of the First Amendment."
Still not sure about whether you qualify for
a religious exemption? Check out the Religious and Philosophical
Exemption Worksheet. This form can
help you through a series of questions to determine whether you meet
the guidelines laid out by the US Supreme Court.
Excerpt from another vaccine
exemption letter citing Bible references
- Our faith is in God and in the Holy
Bible which is authored by God. This is the instruction book for
living that He has left us and in it He tells us He is our
protector and we stand firm on His promise. Our faith is in
Him!
- "And hearing this, Jesus said to them,
'It is not those who are healthy who need a physician, but those
who are sick; I did not come to call the righteous, but sinners.'"
(Mark 2:17)
- "Know ye not that your body is the
temple of the Holy Ghost which is in you, which ye have of God and
ye are not your own?" (I Corinthians 6:19)
- "That your faith should not stand in the
wisdom of men, but in the power of God." (I Corinthians
2:5)
- "You must know that your body is a
temple of the Holy Spirit, who is within the spirit you have
received from God. You are not your own." (I Corinthians
6:19)
- "As a consequence, your faith rests not
on the wisdom of men but on the power of God." (I Corinthians
2:5)
- "I know with certainly on the authority
of Lord Jesus that nothing is unclean in itself: it is only when a
man thinks something unclean that it becomes so for him." (Romans
14:14)
- "If anyone destroys Gods temple, God
will destroy him. For the temple of God is holy, and you are that
temple." (I Corinthians 3:17)
- "For to his angels he has given command
about you, that they guard you in all your ways." (Psalms
91:11)
- "Follow God your Lord, remain in awe of
him, keep His commandments, obey and serve Him and you will then
be able to cling to Him." (Leviticus 19:1,2)
- "God has not given us a spirit of fear,
but of power and love and a sound mind." (II Timothy 1:7)
- Complied by Kathryn E. Rateliff, CCD,
CCCE, CCM, GSM
- Updated Oct., 2004
-
-
Want to know more about the issue of
vaccine choice?
Titus 2 Birthing has a booklet that looks at some of the issues regarding vaccine choice. This booklet includes : vaccine safety, disease frequency in the
US, Vaccine
Refusal Form, exemption information,
religious concerns about vaccines, immunization registry information,
vaccinations and premature babies, vaccines and immune supression, toxic chemical in vaccines as of Sept 2004, the use of aborted fetal tissue as a vaccine medium, vaccination and US goverment policy in the armed forces and in Homeland Security, the rise of autism and other learning disabilities which may be attributable to vaccine damage, genetically engineered foods containing vaccines, the American Association of Physicians and Surgeons policy on mandatory vaccines, what is informed consent and informed refusal, how vaccines are sold and how vaccine policy is decided and additional resources.
If you are interested in getting a copy of
this packet, contact Kathy and she will be glad give you all of the
details. Please note there is a charge for this booklet.
Questions and comments can be addressed to her at: titus2ed@aol.com.
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