Retreat Form FULL NAME*EMAIL* BEST PHONE NUMBER TO REACH YOUPROFESSION/LICENSE*WHICH POLARIS MODULES HAVE YOU COMPLETED?* MODULE 1 MODULE 2 MODULE 3 MODULE 4 MODULE 5 MODULE 6 MODULE 7 MUSIC MODULE HEALING THE HEALER RAINFALL MEDICAL MODULE WHICH LEVEL AND DATES ARE YOU INTERESTED IN?* LEVEL 1: 2/16-20, 2024 (Berkeley) LEVEL 1: 5/16-20, 2024 (Portland) Let me know about 2024 dates for Level 1 Let me know about 2024 dates for Level 2
