Religious Exemption Letter

Living a Good Life Church Inc.

Religious Exemption

To Whom It May Concern:

I,                                                                               , wish to assert my constitutionally protected right of association with Living a Good Life Church; my sincerely held belief in its formal doctrine and discipline, to assert a claim of religious exemption from involuntary vaccination based on my adherence to its creed.

Printed Name

Signature

Date

Email

Phone

Mailing Address

Reference: Living a Good Life Church Inc. EIN: 87-0863845 – Idaho Registered Nonprofit Corporation – Mailing Address: 6 Elm Street #931 Bridgton, ME 04009

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