Level Up Your Social Skills Registration Form

Level Up Your Social Skills Registration Form

Game Night with a Nerdy Therapist
Join Connor Zimmerman, LPCC for a tabletop role playing game night for ages 18–25, designed to tackle social anxiety and build relationship skills—no experience needed!

Complete this form to register so we have enough snacks and materials.

The Details

When: Wednesday. February 25, 5-6p
Where: Ellie Mental Health - Fort Collins, 1075 W Horsetooth Rd, Ft Collins, CO 80526
How: Register Here
Cost: FREE

Light refreshments will be served
Participant Details:
Full Name*

First NameLast Name
Age*
Phone Number*
Format: (000) 000-0000.
E-mail*
example@example.com
Address

Street Address

Street Address Line 2

CityState

Zip Code
How did you hear about us?
Do you have any experience with table-top role playing games (e.g Dungeons & Dragons, Pathfinder, or.Call of Cthulhu)
Should be Empty: