RSVP for Dog Dance!
Come dance with your dog at the Pillow! Dance Exchange Artists Elizabeth Johnson and Debbie Maciel will lead you and your leashed canine through a series of simple and fun movements designed to highlight the beauty of our pets and the unique relationships we share with our dogs. No experience for humans or dogs needed (we just ask that your dog is comfortable being around others and around loud sounds). The event will also feature free dog massages and the opportunity to win pet prizes! Dogs will be required to be on leash at all times.

All ages welcome | Participants under 16 years of age must be accompanied by an adult.

July 14, 2018; 11am, Great Lawn, Jacob's Pillow, 358 George Carter Road, Becket MA, 01223.

FREE with suggested donations to the Berkshire Humane Society.

RSVP by filling out the form below or by contacting Zack Wilks at 413.243.9919 x164.

Email address *
Phone number *
Your answer
First Name *
Your answer
Last Name *
Your answer
Age *
All ages welcome, under 16 must be accompanied by an adult.
Waiver of Liability, Indemnification, Medical, and Media Release
Acknowledgment & Assumption of Risk​: The undersigned hereby acknowledges that they are aware of the dangers and the risks to the participant's person and property involved in participating in the following class, activity or event facilitated by Jacob's Pillow (JP).
The undersigned and participant understand that this activity involves certain risks for physical injury to the participant. We also understand there are potential risks of which may presently be unknown. Because of the dangers of participating in this class, activity and/or event the undersigned and the participant recognize the importance and the participant agrees to fully comply with the applicable laws, policies, rules and regulations, and any supervisory instructions regarding participation in this activity. The undersigned and the participant understand that JP does not insure participants in the above-described activity, that any coverage would be through personal insurance, and JP has no responsibility or liability for injury resulting from this activity. The undersigned acknowledges that the participant voluntarily elects to participate in this activity with the knowledge of the danger involved and hereby agrees to accept and assume any and all risks of property damage, personal injury, or death.
WAIVER OF LIABILITY & INDEMNIFICATION In consideration for being allowed to voluntarily participate in the above-referenced event, on behalf of myself, the participant, his/her personal representatives, heirs, next of kin, successors and assigns, the undersigned:
a. waives, releases, and discharges JP ​and its administrators, trustees, officers, employees, students, contractors, and agents (collectively, the "Releases"), from any and all liability for the participant's death, disability, personal injury, property damages, property theft or claims of any nature which may hereafter accrue to the participant, and the participant's estate as a direct or indirect result of participation in the activity or event; and
b. defend, indemnify, and hold harmless JP ​and its administrators, trustees, officers, employees, students, contractors, and agents, from any and all claims of any nature, including all costs, expenses, and attorney's fees, which may in any manner result from or arise out of this agreement, except for claims resulting from or arising out of negligence on behalf of JP.
Medical Release​: Consent is given for the participant to receive medical treatment, which may be deemed advisable in the event of injury, accident or illness during this activity or event. This release, indemnification, and waiver shall be construed broadly to provide a release, indemnification, and waiver to the maximum extent permissible under applicable law.
Media Release​: This event may be digitally photographed or recorded by JP. JP is the sole owner of these materials and I, the undersigned, grant JP the right to edit, use, and reuse these materials for any non-profit or educational purposes, including use in print, television, on the internet and all other media platforms.
Your Canine Friend
Your dog's name
Your answer
Tell us a bit more about your dog! (optional)
Your answer
What's your dog's favorite dance move? (optional)
Your answer
How did you find out about this event?
Learn More
Would you like to be added to our email list to learn more about classes and events happening at Jacob's Pillow and in the community?
Never submit passwords through Google Forms.
This form was created inside of Jacob's Pillow Dance Festival. Report Abuse - Terms of Service - Additional Terms