Registration Form & Calculator 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 17th (waitlist only) December 5th CHOICE 2: October 17th (waitlist only) December 5th Untitled MODULE 2 Modules fill quickly. Please SELECT both a FIRST AND SECOND CHOICE. CHOICE 1: November 14th CHOICE 2: November 14th Untitled MODULE 3 Modules fill quickly. Please SELECT both a FIRST AND SECOND CHOICE. CHOICE 1: September 26th December 12th CHOICE 2: September 26th December 12th Untitled MODULE 4 Modules fill quickly. Please SELECT both a FIRST AND SECOND CHOICE. CHOICE 1: October 24th CHOICE 2: October 24th Untitled MODULE 5 Modules fill quickly. Please SELECT both a FIRST AND SECOND CHOICE. CHOICE 1: Let me know about dates for 2023 CHOICE 2: Let me know about dates for 2023 Untitled MODULE 6 Modules fill quickly. Please SELECT both a FIRST AND SECOND CHOICE. CHOICE 1: December 10th CHOICE 2: December 10th Untitled MODULE 7 Modules fill quickly. Please SELECT both a FIRST AND SECOND CHOICE. CHOICE 1: September 30th CHOICE 2: September 30th Untitled HEALING THE HEALER Modules fill quickly. Please SELECT both a FIRST AND SECOND CHOICE. CHOICE 1: October 22nd Modules fill quickly. Please SELECT both a FIRST AND SECOND CHOICE. CHOICE 2: October 22nd Untitled MUSIC MODULE CHOICE 1: October 1st Untitled RAINFALL MEDICAL MODULE Modules fill quickly. Please SELECT both a FIRST AND SECOND CHOICE. CHOICE 1: November 19th CHOICE 2: November 19th TOTAL COST For questions about the training, please contact training@polarisinsight.com. Δ
