Caution: uncheck this box if you are on a public computer (e.g. Hotel, Coffee Shop)
Please provide the email address where you wish to receive a link to use when you are ready to resume:
indicates a required answer
Please read the current LCHA Handbook : LCHA Member Handbook
*Note you can print this document or readily refer to it online, as needed, via the LCHA Members' Website
I acknowledge that I have read the LCHA Handbook and agree to abide by the policies and procedures therein.
Name (First and Last)
Date
