2024/2025 Midwife CE Retreat to Hawaii - Interest Form
Hey birthy peeps!

It's time for us to come together for some R&R in the sunshine and within the arms of the aloha of Hawaii. 

Please let us know below what you want to see at a Midwife Retreat in the islands. This experience can span from fully healing centered, where we focus the offerings around nourishing food provided for us daily, group healing therapies, massages, and more, all the way to CEs/CEUs and emergency skills trainings and drills with the community. Please take time to consider each question and answer each of them as openly and honestly as you can so that we have the most accurate data to plan the experience around. We will collect your email addresses and you will be the first to know when we have ticket sales open and set dates.

We hope to learn, rest, and recharge with you soon!

In aloha and birth,

Jess and Jenn

Contact us at  hello@pacificbirthinstitute.com if you have any questions or fun ideas/accomodations to share!
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Email *
Name *
Email *
Phone Number 
How many full days (8 hours) would you like the retreat to last? *
Required
Do you want to stay on-site for the retreat or choose your own lodgings and come to the main site daily for the retreat activities?
Clear selection
What is your ideal retreat in Hawaii budget per night, including the retreat+lodging+food?
Which Island would you prefer to visit?
What time of year would you like to be on the islands?
Do you want all meals provided on-site?
Clear selection
Do you have any dietary restrictions? *
What would you like to see available at the retreat?
Would you like to participate in hands on skills trainings? *
Required
What skills/ed/training opportunities interest you? *
Required
Would you like any of the content offered to have CEs/CEUs? *
Required
What type of CEs/CEUs will you want to receive for attending?
Clear selection
Are there other areas of hands on training you would be interested in during the retreat? List any subject matter you would like more training in. 
If you said yes to CEUs, how many CEUs would you ideally be able to earn at the retreat and how many days would you like to do it in? We want a gauge of how busy everyone wants to be. 

Ex: I would like at least 14 CEUs and I have two full days available to commit to the retreat total. 
-or- 
I would like 6 CEUs in pharmacology if possible and I would love to have a 5+ day retreat to relax.
Anything else you'd like us to know? Thanks for taking the time to respond - we value your input and will email once we have more data to share!
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