Long Island School of Classical Woodcarving & Woodworking
74 West Hoffman Ave. Lindenhurst N.Y. 11757 Tel.631-225-1666
I understand individual, have applied for enrollment in a woodcarving course the to be conducted at Long Island School of Classical & Woodworking by  Leonid Zakurdayev. I understand that woodworking can be dangerous activity which could result in damage to property, or serious injury to me. As an enrollee, I completely and fully assume100% of or damage or injury as a result of activities engaged in and/or related to enrollment and participation in any woodworking course at Long Island School of Classical Woodcarving & Woodworking. In consideration of the permission extended to me to enroll in a course conducted by Leonid Zakurdayev, and with intent to be legally bound, I hereby assume full responsibility for all injury or damage to me or my property , including that caused by my negligence of others, arising from related in any way to participation in said course, and for myself,my heirs, executors, administrators and assigns forever release Leonid Zakurdayev and Long Island School of Classical Woodcarving & Woodworking, its shareholders, officers directors ,agents, employees, teachers and landlords from all liability,claims,demands, actions cause or action,of whatever type or nature, for injury to my person(including death)or my property, arising from or related in any way to enrollment or participation in said course.
Signature of Enrollee                                                                              Date   
Signature of Witness                                                                                Date
Print name of Print name of Enrollee
Print name of Witness
Waiver and Release of Liability
Registration
Course#z407
Name
Address
City/St/zip
Are you an adult over the
Age of 18
Yes
Tel.