SCHOOL/CHILD CONSENT LETTER

CONSENT LETTER FOR COVID VACCINE IMMUNISATION

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CONSENT LETTER FOR COVID VACCINE IMMUNISATION

[Sender’s Name]
[Sender’s Street Address]
[Sender’s Town/City, State, Postal Code]
[Sender’s phone number and or email address]

Date 2022

[Principal/Director Name]
[School Street Address]
[School Town/City, State, Postal Code]

Re: Withdrawal of consent for Covid-19 Vaccines

Dear Principal/Director,

I am writing to you regarding my child, [name] who is in grade [grade] at your school.
Both [child’s name] and I have some concerns that we would like to address in writing regarding the covid-19 vaccine.

I do not consent to the covid-19 vaccine/s being administered to [child’s name] and it is important to underline [child’s name] does not consent to them, either. [Child’s name] understands the risks and benefits of this vaccination and chooses not to receive it. Affixed to this letter is a written statement from [child’s name] confirming this.

Furthermore, I do not consent to my child receiving any coronavirus testing at school. If they develop symptoms of illness, I will keep them at home as I would with any other illness and arrange any necessary testing or treatment myself.

Finally, I do not consent to any detainment of my child on school premises or elsewhere for any reason. I expect child to return home at the usual time every day unless I have given my express permission otherwise.

Please reply to this letter at your earliest possible convenience acknowledging my concerns and agreeing that my child will not be subject to any measures I have not expressly offered my consent for.

I, [child’s name], do not consent to receive the covid-19 vaccinations. I understand the risks and benefits of vaccinations, and I do not consent to receiving any. If I am vaccinated without a parent present, it will have been under duress, and therefore illegal.

Signed: [Student’s Signature]

Date: 2022

[Parent Name]
[Signature of Parent]