Parent Information Regents Physics
This form is to be completed  by one parent / guardian of a student in Regents Physics.  

The easiest method to contact me is by email at jrodichok@smithtown.k12.ny.us.  If you have any questions or concerns please do not hesitate to contact me.

The majority of the material for my classroom is on my website
https://sites.google.com/site/shsephysics/home
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Parent / Guardian First Name *
Parent / Guardian Last Name *
Student's Last Name if different from Parent / Guardian
Best Email for Parent / Guardian *
Best Phone Number for Parent / Guardian *
I have read the Regents Physics Course Outline with my child and am satisfied with his/her understanding of the content. *
The Regents Physics Course Outline can be found at  www://sites.google.com/site/shsephysics/home/mr-rodichok-page/parent-info
Required
I have read the Student Laboratory Safety Agreement with my child and am satisfied with his/her understanding of the content. *
Required
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