Skip survey header

LEAD with Comp Registration - July 2021

Individual Registration Information

Please answer the following questions regarding your registration for LEAD with Comp, in full. If you have any questions regarding the specific questions being asked, please don't hesitate to contact us at
This question requires a valid email address.
This question requires a valid number format.
Please indicate the level of your insurance experience *This question is required.
< 1 Year1-3 Years3-5 Years5+ Years
On a scale of 1 to 10 (1=No knowledge, 10=Expert) how would you rate your level of comfort and knowledge on workers' compensation? *This question is required.
No knowledge
Current Knowledge Level
1. I understand the cost of the program is $3,500  (early bird registration offering $750 discount by June 1st and $350 discount by June 30th). *This question is required.