Challenge or Conflict Permission Form                                   Green River Logo

Instructions:  Complete this form online, print it, obtain required signatures/register and submit to Enrollment Services for processing

Name:  Last   First  MI
SID:     
Quarter: (Please select one)  Fall   Winter  Spring  Summer  Year: 
CHALLENGE: 
Student must register and pay tuition for desired class.
Form must be completely filled out with proper signatures. 
Submit form to Enrollment Services.
Permission to Challenge:
Item #   Dept/Course #   Course Title   

Instructor's Signature:     Date:
CONFLICT PERMISSION: 
Student must obtain permission from the instructor that is allowing the time conflict.
Submit the form to Enrollment Services.
Permission to enroll in: Item # , because course hours conflict with item # .
Valid Until:

Instructor's Signature:     Date:

Student Signature Required:     Date:

For Office Use Only:  Processed by:     Date: