GROWL Registration

I am an incoming: *

Freshman Transfer

Why are you filling out the form? *

Make a reservation for a GROWL Session Reschedule Your GROWL Date Cancel an existing registration for a GROWL Session

Where do you plan to live? *

On-campus in a dorm At home or off-campus Unsure

Enrollment Deposit *

Yes, I paid my $75 enrollment deposit! No, I haven't paid but I plan to here shortly. No, and paying the deposit would cause hardship.

Additional Information

Do you live more than 150 miles from campus?

Yes No

Student Information

First Name: *

Middle Name:

Last Name: *

Date of Birth: *

SSN#: *

Intended Major: *

Contact Information

Email: *

Mailing Address: *

City: *

State: *

Zip: *

Home Phone: *

Cell Phone: *

SMS Consent *

By checking this box, I agree to receive occasional reminders, campus updates, and information from the University of Pikeville. Message frequency varies. Message & data rates may apply. This only applies when the UPIKE sends media campaign notifications, and I understand that I may be contacted 1:1 by my assigned Student Success Advisor to work on obtaining a class schedule.

Yes, I consent to receiving occasional reminders and updates. No, I do not consent to receiving occasional reminders and updates.

Parent/Guardian (1)

Name:

Relationship to the Student:

Phone Number:

Email Address:

Parent/Guardian (2)

Name:

Relationship to the Student:

Phone Number:

Email Address:

2024 GROWL Session Dates

Available Sessions: *

Please CANCEL my session Please CANCEL my session because I no longer plan to attend UPIKE In-Person Session (Nursing) Wednesday, May 8 Registration: 9:00 a.m. Session: 10:00 a.m. In-Person Session (Invite-Only) Wednesday, May 22 Registration: 1:30 p.m. Session: 2:30 p.m. In-Person Session Friday, June 7 Registration: 9:00 a.m. Session: 10:00 a.m. In-Person Session Friday, June 21 Registration: 2:00 p.m. Session: 3:00 p.m. In-Person Session Saturday, July 13 Registration: 9:00 a.m. Session: 10:00 a.m. In-Person Session Friday, July 26 Registration: 9:00 a.m. Session: 10:00 a.m. In-Person Session (Fall Sport Move-in) Friday, August 2 Registration: 9:00 a.m. Session: 10:00 a.m. In-Person Session (First Year Move-in) Tuesday, August 20 Registration: 9:00 a.m. Session: 10:00 a.m.

Academic Year *

This is a pre-filled field and cannot be modified.

Guest 1:

Relationship to the Student 1:

Guest 2:

Relationship to the Student 2: