WAIVER AND RELEASE BY PARTICIPANT OF INSTITUTO DE FOLKOR MEXICANO, INC
In consideration of my voluntary participation in the _______ (the “Program”) at facilities within INSTITUTO DE FOLKOR MEXICANO, INC (the “IFM”), the undersigned participants and/or participant’s parents and/or guardians (collectively, “Participants”) agree as follows:
Assumption of Risk
I acknowledge that participation in the Program involves risks (both known and unknown) including, but not limited to, physical injury, mental stress, and damage or destruction of personal property. I agree to assume all risks associated with the Program, including those arising from equipment malfunction, design defects, and negligent operation or use of equipment.
Medical Condition
I represent and warrant that the Participant has no physical or mental condition that would prevent participation or increase risk. I agree to stop participation if I believe it may be unsafe or harmful and to notify IFM immediately of any issues encountered during the Program.
Release and Waiver
I release and waive any claims against IFM, its officers, volunteers, officials, employees, agents, and elected officials (collectively, the “IFM Parties”) for any injury, death, or property damage arising from participation in the Program, including claims based in negligence.
Indemnification
I agree to indemnify and hold harmless IFM and the IFM Parties from any liability for damage or injury resulting from my participation in the Program, including without limitation injury, death, or other liability. This agreement covers any claims, demands, or actions by myself, my heirs, or my personal representatives, including claims of negligence. I agree not to seek contribution or indemnification from IFM or IFM Parties if sued by any party in connection with the Program.
Images and Recordings
I consent to the unrestricted use of my image and/or name in connection with the Program by IFM or its authorized representatives, including photographs, audio or video recordings, interviews, and other media. If I change my mind, i will email the director directly.
Consent of Parent/Guardian (If Participant is a minor)
The undersigned, as the parent or legal guardian (“Parent/Guardian”) of the Participant, consents to the Participant’s participation in the Program and executes this Waiver and Release on their behalf. Parent/Guardian affirms that Participant meets all requirements for participation and agrees to hold IFM and IFM Parties harmless from any loss, liability, damage, or expense resulting from the Participant’s participation in the Program.
Accommodations for IEP or 504 Plan
I agree to inform IFM’s directors of any Individualized Education Program (IEP) or 504 Plan that the Participant has, to ensure that necessary accommodations can be made for the dancer. I understand that it is my responsibility to provide this information to support the Participant’s successful participation in the Program.
Agreement Cancellation: Our dance software does not store bank account information. All credit card numbers and bank details are stored by the Merchant Processor.The date this Addendum is entered into is for the September 6, 2025- May 6, 2026. The date this membership begins is September 1, 2025.
DUES: This Addendum has a 1 month minimum Plan Term with a month-to-month continuation after the expiration of the Term. Buyer may cancel after the Term in person by filling out a cancelation request on online at www.folkloricoaz.com Click on Parents Guide. You must give a minimum thirty (14) days notice prior to your next scheduled dues payment to avoid an additional payment. VERBAL NOTIFICATION IS NOT ACCEPTED. Parents will be charged until official notice is received whether they not attend the class or not. Nor can they file a fraudulent charge to their Bank to avoid not paying their tuition. Said Bank will also not try to retrieve or refund any monies from their customer.
-You are authorizing regularly scheduled charges to your checking/savings account or credit card.
-You will be charged the amount indicated below each billing period.
-The charge will appear on your bank statement as an “Instituto de folklor mexicano.
NO prior-notification will be provided unless the date or amount changes, in which case you will receive notice from us at least 10 days prior to the payment being collected.
-The only thing that will change amount are added late fees; recital fees, rental fees, etc. If they are past due.
-Payment for non-tuition payments may be made via cash, check or online on our parent portal.
o I understand that this authorization will remain in effect until I cancel it in writing via website www.folkloricoaz.com via IFM parent Guide/ 15 day drop notice.
o I agree to notify Instituto de folklor mexicano in writing of any changes in my account information or termination of this authorization at least 15 days prior to the next billing date. Updating payment information is done via Parent Portal only.
o If the above-noted payment dates fall on a weekend or holiday, I understand that the payments may be executed on the next business day. For ACH debits to my checking/savings account, I understand that because these are electronic transactions, these funds may be withdrawn from my account as soon as the above noted periodic transaction dates.
o In the case of an ACH Transaction being rejected for Non-Sufficient Funds (NSF) I understand that Instituto de folklor mexicano may at its discretion attempt to process the charge again within 30 days and agree to an additional $25 charge for each attempt returned NSF which will be initiated as a separate transaction from the authorized recurring payment.
o I acknowledge that the origination of ACH transactions to my account must comply with the provisions of U.S. law.
o I certify that I am an authorized user of the credit card/bank account on file and will not dispute these scheduled transactions with my bank or credit card company; so long as the transactions correspond to the terms indicated in this authorization form.
I HAVE CAREFULLY READ THIS WAIVER AND RELEASE AND FULLY UNDERSTAND ITS CONTENTS. I AM AWARE THAT THIS IS A RELEASE OF LIABILITY AND A CONTRACT BETWEEN MYSELF AND INSTITUTO DE FOLKOR MEXICANO, INC AND I SIGN IT OF MY OWN FREE WILL.
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EXONERACIÓN Y LIBERACIÓN DE RESPONSABILIDAD POR PARTE DEL PARTICIPANTE DE INSTITUTO DE FOLKLOR MEXICANO, INC
En consideración a mi participación voluntaria en el _______ (el “Programa”) en las instalaciones del INSTITUTO DE FOLKLOR MEXICANO, INC (el “IFM”), los participantes que firman a continuación y/o los padres y/o tutores del participante (colectivamente, “Participantes”) acuerdan lo siguiente:
Asunción de Riesgo
Reconozco que la participación en el Programa conlleva riesgos (tanto conocidos como desconocidos) que incluyen, pero no se limitan a, lesiones físicas, estrés mental y daño o destrucción de propiedad personal. Acepto asumir todos los riesgos asociados con el Programa, incluidos los que surgen de malfuncionamientos del equipo, defectos de diseño y operación o uso negligente del equipo.
Condición Médica
Declaro y garantizo que el Participante no tiene ninguna condición física o mental que impida la participación o que aumente el riesgo. Acepto detener la participación si creo que puede ser inseguro o perjudicial y notificar inmediatamente al IFM sobre cualquier problema encontrado durante el Programa.
Liberación y Exoneración
Libero y renuncio a cualquier reclamación contra IFM, sus oficiales, voluntarios, funcionarios, empleados, agentes y oficiales electos (colectivamente, las “Partes de IFM”) por cualquier lesión, muerte o daño a la propiedad que surja de la participación en el Programa, incluyendo reclamaciones basadas en negligencia.
Indemnización
Acepto indemnizar y mantener a IFM y a las Partes de IFM a salvo de cualquier responsabilidad por daño o lesión resultante de mi participación en el Programa, incluyendo, sin limitación, lesión, muerte u otra responsabilidad. Este acuerdo cubre cualquier reclamación, demanda o acción por parte de mí, mis herederos o mis representantes personales, incluyendo reclamaciones de negligencia. Acepto no buscar contribución o indemnización de IFM o de las Partes de IFM si soy demandado por alguna parte en conexión con el Programa.
Imágenes y Grabaciones
Consiento el uso irrestricto de mi imagen y/o nombre en conexión con el Programa por parte de IFM o sus representantes autorizados, incluyendo fotografías, grabaciones de audio o video, entrevistas y otros medios.
Consentimiento de Padre/Tutor (Si el Participante es menor de edad)
El que firma a continuación, como padre o tutor legal (“Padre/Tutor”) del Participante, consiente en la participación del Participante en el Programa y firma esta Exoneración y Liberación en su nombre. El Padre/Tutor afirma que el Participante cumple con todos los requisitos para la participación y acepta mantener a IFM y a las Partes de IFM a salvo de cualquier pérdida, responsabilidad, daño o gasto resultante de la participación del Participante en el Programa.
Adaptaciones para IEP o Plan 504
Acepto informar a los directores de IFM sobre cualquier Programa de Educación Individualizada (IEP) o Plan 504 que tenga el Participante, para asegurar que se puedan realizar las adaptaciones necesarias para el bailarín. Entiendo que es mi responsabilidad proporcionar esta información para apoyar la participación exitosa del Participante en el Programa.
HE LEÍDO CUIDADOSAMENTE ESTA EXONERACIÓN Y LIBERACIÓN Y ENTIENDO COMPLETAMENTE SU CONTENIDO. SOY CONSCIENTE DE QUE ESTO ES UNA LIBERACIÓN DE RESPONSABILIDAD Y UN CONTRATO ENTRE YO Y EL INSTITUTO DE FOLKLOR MEXICANO, INC, Y LO FIRMO DE MI PROPIO LIBRE ALBEDRÍO.