• Brett Saucier




All students who enroll in MSAD 60 schools are required by Maine law to present a certificate of immunization or evidence of immunization or immunity against poliomyelitis, diphtheria, pertussis (whooping cough), tetanus, measles, mumps, and rubella; and varicella (chicken pox). 

Non-immunized students shall not be permitted to enroll in school, or to attend school activities, unless one of the following conditions is met:

A. The parents/guardians provide to the school written assurance that the child will be immunized within 90 days of enrolling in school or his/her first attendance in classes, whichever date is earlier.  This option is available only once to each student during their school career; or

B. The parents/guardians provide a physician’s written statement each year that immunization against one or more diseases may be medically inadvisable (as defined by law/regulation); or

C. The parents/guardians state in writing each year that immunization is contrary to their religious belief or for philosophical reasons.

All incoming 7th grade students must show proof of a DTaP vaccine booster.

The Superintendent shall exclude from school any non-immunized student when a public health official has reason to believe that the student’s continued presence in school presents a clear danger to the health of others. Any such student shall be excluded during the period of danger (as defined by health officials) or until the student receives the necessary immunization.

The Superintendent may also exclude from school: 1) a student who presents a public health threat in accordance with applicable laws or 2) a student who has been exposed to a communicable disease upon the direction of a physician who has consulted with the Bureau of Health.

Arrangements shall be made for students who are excluded from school to receive and complete school assignments if possible, and to make up missed examinations and other work within a reasonable time upon their return to school.

The Superintendent/designee is directed to develop such administrative procedures as are necessary to carry out this policy and comply with statutory requirements.  

Legal Reference: 20-A MRSA §§ 6352-6359

Chapter 126 (Me. Dept. of Ed. Rules)

Maine School Health Manual

10-144 Dept. of Human Services

Cross Reference: JLCB-E Yearly Immunization Exemption Form

Adopted: May 24, 2001

Revised: September 21, 2017



As the parent/guardian of _______________________ in grade _______, and with the date of birth of ______________, I am requesting a waiver for the following immunizations:

___ All required immunizations

___ DTaP (Diphtheria, Tetanus, and Pertussis)

___ I/OPV (Polio)

___ MMR (Measles, Mumps, & Rubella)

___ Varicella (chicken pox)

I understand that in case of an outbreak of the specific disease for which my child is not protected, my child will be kept out of school and school activities.  The length of time that my child will be kept out of school may vary from a week to over a month depending on the disease and length of the outbreak. I also understand that if my child is out of school, the school is not required to provide off-site classes or tutoring.  The school may make reasonable accommodations to assist my child in keeping up with classwork.

I am requesting the waiver for:

___ Sincere religious belief

___ Philosophical reasons

My explanation is as follows:


Signed by:____________________________

Relationship to student:__________________



Steve Connolly



Susan S. Austin

Phone: 207-676-2234

Fax: 207-676-3229

100 Noble Way, North Berwick, ME 03906

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