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 2: 9/14-18, 2023 (Portland) LEVEL 1: 2/16-20, 2024 (Berkeley) Let me know about 2024 dates for Level 1 Let me know about 2024 dates for Level 2 Let me know about offerings for Level 3 Δ
