Luther High School
Schedule Change Request Form
Name: ______________________________________
Grade: __________
Please complete this form if you have a change request. A great deal of time is invested in the registration and scheduling process. For these reasons,
no changes will be allowed unless they are deemed necessary by the school.
Criteria for Course Change~Check the one reason for the course change.
_____ 1. I have no schedule.
_____ 2. I have an incomplete schedule. EXPLAIN: ______________________
_____ 3. Other-Please EXPLAIN: __________________________________
Course to Drop: ________________________
Course to Add: ________________________
_____Request Approved
Reason:
_____Request Denied
_____Initials