Therapist Networking Event

Thursday, September 21, 2023
6:00 PM 7:30 PM

Wibby Brewing 209 Emery Street Longmont, CO, 80501 United States (map)

Google Calendar ICS

Come join us for this networking event with the goal of cultivating community, building your referral networks, and unwinding in good company! These events are donation based and open to any psychotherapist looking for a fun, laid back way to connect with other therapists.

Sign Up Here:

Name

First Name

Last Name

Phone

Business Phone #

(###)

###

####

Practice Name

What is your practice or group practice name?

Website

http://

Tell us about your practice

Who is your ideal client? What type of therapy do you do? Insurance vs private pay? Any other info you want your peers to know?

Are you accepting new clients?

Yes

Would you like to be added to the email list?

Yes

Have you attended a Therapists in the Wild event in the past?

Yes

Photo Release

By registering for this event I give permission to the Therapists In The Wild and press and media admitted to the event by the Therapists In The Wild the right to photograph, videotape or otherwise digitally collect my name, likeness, voice and sounds (as "Works") during my participation in the event. I further acknowledge the Works to be works made for hire, and otherwise irrevocably assign and grant to Therapists In The Wild all rights in these Works and the right to use or sublicense these Works and my name, likeness and biography, in the Therapists In The Wild's discretion, in all media and in all forms or purposes, including without limitation, advertising and other promotions for the Therapists In The Wild, without any further consideration to myself or my heirs, assigns, legal and personal representative(s).

I understand

August 24

Therapist Networking Event

October 19