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?* LEVEL 1: 7/21-25, 2022 (Portland) LEVEL 1: 10/6-10/10. 2022 (San Francisco) LEVEL 2: 11/3-11/7, 2022 (San Francisco) LEVEL 3 Dates: Coming 2023 Δ
