PARENTAL CONSENT FORM

To be printed & mailed to:

Mr. Roy Vanhoozer - 1813 Normandy Road - Lexington, KY 40504

TO BE COMPLETED BY PARENT OR GUARDIAN OF THE APPLICANT
                  
                  This is to certify that I am thoroughly familiar with the 
                  Mammoth Cave Restoration Project at Mammoth Cave National Park 
                  and that I give my consent for my son/daughter/ward,
                  
                  ________________________________________________________
                  			(Name)
                  
                  to participate as a cave cleanup team member. I agree that 
                  I will not hold the United States Government responsible for 
                  any non-program accident or illness, and I authorize first-aid, 
                  or emergency medical care, to be performed at the nearest, 
                  most adequate facility.
                  
                  _________________________________    ___________________
                  
                  Signature of Parent or Guardian      Date
                  
                  
                  
                  In case of emergency, 
                  
                  Contact: ____________________________________
                  
                  Relationship: _______________________________
                  
                  Phone (Please include area code)
                  
                  Home: (      ) _________-____________________
                  
                  Work: (      ) _________-____________________
                  
                  Address: _______________________________________________
                  
                  	 _______________________________________________
                  	
                  	 _______________________________________________