A. For a child attending a school, the child is exempt from the applicable immunization requirements in R9-6-702 for personal beliefs, as allowed by A.R.S. § 15-873(A)(1), if the child's parent submits to the school a statement of exemption from immunization for personal beliefs, in a Department-provided format, that contains:

• 1. The parent's name,
• 2. The child's name,
• 3. The child's date of birth,
• 4. The immunizations from which the child's parent is requesting an exemption,
• 5. A statement that the parent is requesting the exemption based on personal beliefs, and
• 6. The signature of the child's parent and the date signed.

B. For a child attending a child care, the child is exempt from the applicable immunization requirements in R9-6-702 for religious beliefs, as allowed in A.R.S. § 36-883(C), if the child's parent submits to the child care a statement of exemption from immunization for religious beliefs, in a Department-provided format, that contains:

• 1. The parent's name,
• 2. The child's name;
• 3. The child's date of birth;
• 4. The immunizations from which the child's parent is requesting an exemption;
• 5. A statement that the parent is requesting the exemption based on religious beliefs, and
• 6. The signature of the child's parent and the date signed

A. Documentary proof is not required for a pupil to be admitted to school if one of the following occurs:

• 1. The parent or guardian of the pupil submits a signed statement to the school administrator stating that the parent or guardian has received information about immunizations provided by the department of health services and understands the risks and benefits of immunizations and the potential risks of nonimmunization and that due to personal beliefs, the parent or guardian does not consent to the immunization of the pupil.

This document addresses exemptions to required immunizations for school attendance.