Registration Day

Please complete the following form before registration day or your scheduled advising appointment.

Contact

First Name *

Last Name *

Preferred Name

Preferred Pronouns

Phone *

Email *

Emergency Contact

Name of Emergency Contact *

Emergency Contact Phone *

Relationship to Emergency Contact *

Additional Information

Please list any dietary restrictions or allergies:

Do you have any mobility issues, permanent or temporary? (Wheelchair, crutches, etc.)

Do you have any medical conditions that we should be made aware of?

Would you like to meet with someone to request an accommodation? (IEP, 504 etc.)

ID Verification

The preferred name policy at the Kentucky College of Art + Design provides all students enrolled with the option to change their names in most college systems without pursuing a legal name change.

Legal names must be used on certain documents including, but not limited to, transcripts and diplomas.

Select one: *

My Preferred Name Is: *

Please upload an image of your Driver's License or Personal ID *