641-7.3(2) A religious exemption may be granted to an applicant if immunization conflicts with a genuine and sincere religious belief. a. To be valid, a certificate of immunization exemption for religious reasons shall contain, at a minimum, the applicant’s last name, first name, and date of birth and shall bear the signature of the applicant or, if the applicant is a minor, of the applicant’s parent or guardian and shall attest that immunization conflicts with a genuine and sincere religious belief and that the belief is, in fact, religious and not based merely on philosophical, scientific, moral, personal, or medical opposition to immunizations. b. The certificate of immunization exemption for religious reasons is valid only when notarized.