Registration Form & Calculator For questions about the training, please contact training@polarisinsight.com. FIRST NAME* LAST NAME* ADDRESS ADDRESS State Zip PHONE NUMBER PROFESSION EMAIL* Credentials CHOOSE MODULE(S) IN WHICH YOU WISH TO REGISTERNOTE: We offer the training in 7 full-day and 2 half-day modules with Module 1 being a required course. Taking modules in the sequence is recommended, as each module builds on the knowledge and skills taught in the previous module but Modules 2-7 and half-day modules may be taken in any order.Untitled MODULE 1 Modules fill quickly. Please SELECT both a FIRST AND SECOND CHOICE. CHOICE 1: October 18th January 8th March 7th April 11th July 11th CHOICE 2: October 18th January 8th March 7th April 11th July 11th Untitled MODULE 2 Modules fill quickly. Please SELECT both a FIRST AND SECOND CHOICE. CHOICE 1: November 15th February 7th May 16th August 15th CHOICE 2: November 15th February 7th May 16th August 15th Untitled MODULE 3 Modules fill quickly. Please SELECT both a FIRST AND SECOND CHOICE. CHOICE 1: December 6th March 14th June 20th September 26th CHOICE 2: December 6th March 14th June 20th September 26th Untitled MODULE 4 Modules fill quickly. Please SELECT both a FIRST AND SECOND CHOICE. CHOICE 1: October 15th January 10th April 8th August 8th CHOICE 2: October 15th January 10th April 8th August 8th Untitled MODULE 5 (ROLE PLAY) Modules fill quickly. Please SELECT both a FIRST AND SECOND CHOICE. CHOICE 1: February 26th May 13th August 19th CHOICE 2: February 26th May 13th August 19th Untitled MODULE 6 Modules fill quickly. Please SELECT both a FIRST AND SECOND CHOICE. CHOICE 1: December 11th CHOICE 2: TBD Untitled MODULE 7 Modules fill quickly. Please SELECT both a FIRST AND SECOND CHOICE. CHOICE 1: January 21st March 4th September 30th CHOICE 2: January 21st March 4th September 30th Untitled HEALING THE HEALER Modules fill quickly. Please SELECT both a FIRST AND SECOND CHOICE. CHOICE 1: October 16th CHOICE 2: TBD Untitled MUSIC MODULE Modules fill quickly. Please SELECT both a FIRST AND SECOND CHOICE. CHOICE 1: March 5th June 4th October 1st CHOICE 2: March 5th June 4th October 1st Untitled RAINFALL MEDICAL MODULE Modules fill quickly. Please SELECT both a FIRST AND SECOND CHOICE. CHOICE 1: November 20th February 4th May 7th August 12th CHOICE 2: November 20th February 4th May 7th August 12th TOTAL COST
