Immunization Exemption for Religious Reasons

If you would like to request an exemption from vaccination requirements for religious reasons, please complete this form. Submissions will be reviewed on a rolling basis, and you will receive a response within 10 days of your submission.

Office of Religious, Spiritual & Ethical Life: Immunization Exemption-Religious NEW
MMR and MENINGITIS VACCINATION IS REQUIRED UNDER MISSOURI STATE IMMUNIZATION LAWS (Section 167.181 RSMo) FOR SCHOOL ATTENDANCE.
Name of Student
SHOULD BE EXEMPTED FROM THE FOLLOWING IMMUNIZATIONS
Check all that apply
Note:

  1. Unimmunized students have a greater risk of getting these vaccine preventable diseases
    which can lead to serious complications.
  2. Unimmunized students are subject to be asked to leave school when outbreaks of vaccine preventable
    diseases occur.