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Curry College
STUDENT HEALTH INSURANCE PLAN

Spring Waiver Form for New Spring Students Only
2024-2025 Academic Year


TO CONTINUE THE WAIVER PROCESS, PLEASE FILL OUT THE REQUIRED FIELDS BELOW:

Please note, your Curry student ID# begins with a "@" followed by 8 digits.

Asterisk (*) denotes required field

STUDENT INFORMATION

 
@
 (MM/DD/YYYY)