2017 Conference Registration

2017 Conference rates are $300 through July 17, 2017, and $330 after July 17.

Registration entitles each participant to the workers’ compensation statutes of all states, provided on flash drive, (printed books of certain states available for an additional fee or for those attendees at the multi-state breakouts), admission to the Monday night reception, briefcase and access to conference materials, a chance to win several major prizes in the exhibit area, and for those participants in designated safety breakouts, access to printed safety materials and certifications as noted in the program. The deadline for a refund of the registration fee is July 24, 2017. No refunds will be provided after July 24, 2017. All refunds must be requested in writing, via email or fax. All who register prior to July 10, 2017 will have their names included in the conference roster distributed to all conference participants. Registration at the conference is available on Sunday afternoon, August 6, 2017, at the Marriott. Avoid the lines on Monday morning by registering on Sunday, between 2:00 p.m. and 5:00 p.m. (Please note on the form below that separate registration is required for the Professional Mediation Conference, Breakout for Agents, 10-Hour General Industry Safety Course, ASSE 4-Hour Course, the Give Kids The World Service Project and Gala, and the Prayer Breakfast. Separate registration is also required for the NAWCJ Judiciary College and the SAWCA Regulators College.) There is an additional form required for Golf Tournament Registration.)


(as you wish it to appear on name badge)

Business Mailing Address


Agents/Brokers Only:


Did you attend last year's conference? Yes No



What position do you hold?

Judiciary
Paralegal
Risk Manager
Safety
Employer
Agent (Insurance)
Personnel/Human Resources
Vocational Rehabilitation
Injured Employees Attorney
Employer/Carrier Attorney
Adjuster
Nurse/Case Manager
Mediator
Healthcare Provider
Regulator of State 

Broker
PEO
Staff Leasing
Physical Therapist
Other (Designate)

No refunds issued after July 24, 2017. All requests for Refund must be in writing, via email or fax.

Offerings requiring Pre-Registration
No additional fee for conference registrants. Pre-registration Required