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Furthermorethe#'c"'c #"'c'cOregonRevisedStatutes#'c"'c#"'c'cԀunder#'c"'c)#"'c'cDiseaseandConditionControl433.267;Immunizationofschoolchildren; F! exceptions#'c"'cu#"'c'c;#'c"'c #"'c'ceffectoffailuretocomply#'c"'cg#"'c'c,#'c"'c#"'c'c(c)#'c"'c#"'c'cԀsaysthat#'c"'cV# "'c'castatementsignedbytheparentthatthechildhasnotbeenimmunized f" becausethechildisbeingrearedasanadherenttoareligiontheteachingsofwhichareopposedtosuchimmunizationis 2# exemptfromsuchimmunization. #'c"'c#"'c'cԀ $  The#'c"'c#"'c'cOregonStateConstitution#'c"'c`#"'c'c,#'c"'c#"'c'cArticleI,BillofRights#'c"'c#"'c'c,#'c"'cc#"'c'cSection2#'c"'c#"'c'c:"#'c"'c#"'c'cFreedomofworship#'c"'c@#"'c'c.AllmenshallbesecureintheNatural  6& right,toworshipAlmightyGodaccordingtothedictatesoftheirownconsciences.#'c"'c#"'c'cSection3:Freedomofreligiousopinion#'c"'cl#"'c'c.Nolaw V!' shallinanycasewhatevercontrolthefreeexercise,andenjoymentofreligious(sic)opinions,orinterferewiththerightsof "( conscience." " )  Applicablelawhasbeeninterpretedtomeanthatareligiousbeliefissubjecttoprotectioneventhoughnoreligiousgroupespouses v$"+ suchbeliefsorthefactthatthereligiousgrouptowhichtheindividualprofessestobelongmaynotadvocateorrequiresuchbelief. >%", #'c"'c#"'c'cTitleVIIoftheCivilRightsActof1964asamendedNov.1,1980;Part1605.1GuidelinesonDiscriminationBecauseofReligion#'c"'c4"#"'c'c. &#-  Ourlegalrightsareguaranteedbythefreeexerciseclauseofthe#'c"'c"# "'c'cFirstAmendmenttotheU.S.Constitution #'c"'c##"'c'c.Recentcourtdecisions '>%/ haveupheldtherightsofindividualsseekingexemptionsfromimmunizationsbaseduponpersonalandreligiousreasons.Onthe b( &0 #'c"'c$# "'c'cU.S.SupremeCourtlevelinFrazeeV.IllinoisDept.ofSecurity,489U.S.829 #'c"'c%#"'c'c,itwasfoundthatastatemaynotdenyan *)&1 exemptionsimplybecauseapersonisnotamemberofaformalreligiousorganization. )'2  TheLordJesusChristandOurCreatoraretheonlysourceofprotectionofmybodyandthatofmyfamilythatIcanaccept. +.)4  (I/We)affirmthatvaccination&injectionsofanyforeignsubstancesandproteinsconflictwith(my/our)religiousbeliefsasstated -*6 above.Therefore,(I/we)wouldrequestthatyouaccommodate(my/our)religiousbeliefsandpracticesbyexempting(my/our) -+7 newbornchildfromanyvaccinations,injectionsandtestingofanykind. .N,8   60-: Restassuredthat(myfamilyandI/ourfamily)dopracticeaformofimmunizationthatkeepsourimmunesystemsstrongandisin X keepingwithBiblicalprinciples.    Further_Affiant_ԀSaithNot X  Theuseofnotarybelowisforidentificationonly,andsuchusedoesNOTgrantanyjurisdictiontoanyone. @  Subscribedandsworn,withoutprejudice,andwithallrightsreserved,(PrintNameBelow) x  _______________________________________________________________, `   Principal,bySpecialAppearance,in_Propria_ԀPersona,proceedingSui_Juris_. (     _______________________________  (  Signatureof_Affiant_ H   ЁACKNOWLEDGMENT    stateofOregon h  countyof_________________:   Onthis_______dayof______________,200___,beforeme 0  personallyappeared__________________________________,tomeknowntobethepersondescribedinandwhoexecutedthe  foregoinginstrumentandacknowledgedthatheexecutedthesameashisfreeactanddeed,forthepurposesthereinsetforth.    Ё_______________________________________ 8 Ё(NotaryPublic)   MyCommissionExpires______________________________,200___ 8   #'c"'c%#______________________________________________________#X X'cK#____________________________________________ X    <( 4 <DLX< "X XXX "'cX"X SubChapter:VITAMINKFORNEWBORNS  " #"X X"'c1#"'cX"X Statute:_ORS_Ԁ433.306#"X X"'c1##X XX"X 0#"X XXX "'cX"X Ԁ#"X X"'cK2##X XX"X ,2#"X XXX "'cX"X (2)#"X X"'c2##X XX"X 2#'cXX $6'c |# #$Xh X$683##X X X$XhW3#"X XXX "'cX"X (2) #"X X"'c3##X XX"X 3#"X XXX "'cX"X Ԁ#"X X"'c{4##X XX"X \4#"X XXX "'cX"X Theproceduredescribedinsubsection(1)ofthissectiondoesnotapplytoanyinfantwhoseparentsobjecttotheprocedureon d % theg#"X X"'c5#"'cX"X roundsthattheprocedureconflictswiththereligioustenetsandpracticesoftheparents.Theparentsmustsignastatement 0 & sayingtheinfantisbeingsoreared#"X X"'c5##X XX"X 4#"X XXX "'cX"X .  '     #"X X"'c7##X XX"X 6# "X XXX "'cX"X SubChapter:NEWBORNHEARINGSCREENINGTEST#"X X"'c7##X XX"X 7#'cXX $6'c "0 ) #$Xh X$6a8##X X X$Xh8#"X XXX "'cX"X Statute:_ORS_Ԁ333#"X X"'c9#"'cX"X 020#"X X"'c9#"'cX"X 016#"X X"'c9#"'cX"X 5(1) P# * #"X X"'c:##X XX"X 8#"X XXX "'cX"X 333#"X X"'c:#"'cX"X 020#"X X"'c:#"'cX"X 0165(1) #"X X"'cB;##X XX"X :#"X XXX "'cX"X Ԁ#"X X"'c;##X XX"X ;#"X XXX "'cX"X AhospitalorbirthingcenterdirectedtoprovideNewbornHearingScreeningTestsundertheseAdministrative $", Rulesisexemptfromprovidingsuchservicesiftheparentorguardianofthenewbornchildobjectstothetestingprocedur#"X X"'cY<#"'cX"X eonthe %T#- groundsthattheprocedureconflictswiththereligioustenetsandpracticesoftheparentorguardian.(2)Theparentorguardian t&$. mustsignastatementthatthenewbornchildisbeingsoreared,usingthefollowinglanguage#"X X"'c=##X XX"X :<#"X XXX "'cX"X : <'$/ [Source:HB3246,1999]#"X X"'c/?#"'cX"X #'c"'c?#"'c'c/ (%0 ___________________________________________________________________________________________________________ (t&1 #"X X"'c?##X XX"X ?#@K'(XBB$+(K x x  <(T T4 <DLX< "X XXX "'cX"X STATEMENTOFREL#"X X"'cA#"'cX"X IGIOUSEXEMPTION >+(4  #"X X"'cFB##X XX"X A#  'cXX $6'c#$Xh X$6B##X X X$XhB#"X XXX "'cX"X Theundersignedparent(orguardian)ofstatesthatthischildisexemptfromtestingfordetectionofhearinglossinthatthechild ,*6 isbeingrearedasanadherenttoareligiontheteachingsofwhichareopposedtosuchtesting. -V+7   ______#"X X"'cC#"'cX"X __________#"X X"'cD##X XX"X dC#"X XXX "'cX"X ___________#"X X"'ctE##X XX"X UE#"X XXX "'cX"X __________#"X X"'cF##X XX"X E#"X XXX "'cX"X Ԁ#"X X"'cF##X XX"X rF#"X XXX "'cX"X (parent'sorguardian'ssignature)#"X X"'cG##X XX"X F#"X XXX "'cX"X Ԁ#"X X"'cG##X XX"X G#"X XXX "'cX"X _____________#"X X"'cAH##X XX"X "H#"X XXX "'cX"X __#"X X"'cH##X XX"X H#"X XXX "'cX"X _________#"X X"'cXI##X XX"X 9I#"X XXX "'cX"X Ԁ#"X X"'cI##X XX"X I#"X XXX "'cX"X (date)#"X X"'cjJ#"'cX"X #'c"'cKJ#"'c'cA ..,8   #"X X"'cJ##X XX"X J#K((X@0-LLK x x?( 4 <DLTT4X?'K