Name_____________________________________________________________
Address___________________________________________________________
City______________________________State____________Zip______________
Home Phone______/_______________ Work Phone _____/_________________
E-mail______________________________________
I wish to register for:
Class:____________________________________Date:______________________________
I wish to register for: __________________________ Dates ________________
Do you have any questions, health considerations or dietary preferences that we should be aware of? We provide both meat and vegetarian meals but cannot accommodate specific dietary requirements.
_________________________________________________________________________________________________________
Release of Claims. I understand that woodworking is an inherently
dangerous activity. This Registration constitutes a release of
all liability. In the case of accident or illness, I will not
hold Country Workshops, Inc., or any persons employed by or involved
with Country Workshops, Inc., or the Langsner family responsible.
I will be fully responsible for the security and care of my personal
property (transportation, tools, etc.). Use of the farm access
road is undertaken at my sole responsibility. The Farm/Shop environment
and increased temporary population requires that all participants
agree to a few rules. We cannot accommodate extra guests, nor
pets, without prior agreement. Smoking is not permitted in any
building. Consumption of alcohol is prohibited during class hours
and at meals that precede shop work. Students with a contagious
condition will not be allowed to participate in class work. The
shop safety rules will be honored.
I understand that the instructor or others may take photographs
that include my image. I agree that these photos can be used
for Country Workshops publicity or other purposes without personal
compensation. I have read and agree to the terms for tuition payment
the cancellation policy.
Date _______________ Signature ___________________________________________
Enclosed deposit ______________________________ (personal check
or bank card)
For Mastercard or Visa payments please fill in:
Card # __________-__________-__________-__________ Exp. Date
________-________
A map with instructions to the Langsner Farm will be forwarded along with confirmation of your registration and a list of any required tools.
Send Registration to: Country Workshops
990 Black Pine Ridge Rd.
Marshall, NC 28753
E-mail: langsner@countryworkshops.org
Phone 828-656-2280