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UTAH - TIMPANOGOS GROTTO OF THE N.S.S.
NUTTY PUTTY CAVE ACCESS REQUEST FORM

Every trip participant must read and understand the cave's access requirements. The Tour Leaders must have each participant sign the cave access agreement hard copy form and have a copy of it with them on the premises during their visit. Each participant must willingly agree to comply to the requirements. Those groups that don't follow the requirements may lose future access and/or be cited for trespassing.

PERMISSION SLIPS (MINORS ONLY): Participants under 18 must have parents or legal guardians read and sign a permission slip showing their consent and agreeing to pay for any damages and/or expenses related to rescue, extraction, and medical attention needed during the cave visit.

WAIVERS & MEDICAL RELEASE FORMS (ALL PARTICIPANTS): Every caving participant must complete the waiver and medical release forms. The waiver release liability and the medical release ensures prompt medical attention in an emergency.

WARNING: Caving is risky and all participants do so at their own risk and agree to release all liability to SITLA (the cave land owners), The Cave Access manager, and the Cave Management Group.

PLEASE COMPLETE FORM
Destination:
Nutty Putty Cave
Reservation Date:
  RESERVE DATE AND TIME
Group Association:
Group Size:
Each group must have 2 qualified leaders that can accurately assess the group's capablilities and ensure that the group can handle the obstacles that may be presents. As leaders, you are responsible for your group's safety and conduct.
LEADERS  
PrimaryTour Leader
First Name:
Last Name:
Age:
Address:
City:
State:
Phone:
2nd Phone:
E-mail:
CERTIFICATIONS - REQUIRED
First Aid:
Yes NO
CPR:
Yes NO
Previous experience leading caving trips:
2nd Tour Leader
First Name:
Last Name:
Age:
Address:
City:
State:
Phone:
2nd Phone:
E-mail:
CERTIFICATIONS - REQUIRED
First Aid:
Yes NO
CPR:
Yes NO
Previous experience leading caving trips:
IN CASE OF EMERGENCY
Emergency Contact:
 Emergency Phone:
VEHICLES  
Vehicle 1::
 Year:   Make:   Model:   License:
Vehicle 2:
 Year:   Make:   Model:   License:
Vehicle 3:
 Year:   Make:   Model:   License:
OTHER PARTICIPANTS
#3 Name:
Age:   Required
#3 Emergency Contact:
Phone:
#4 Name:
Age: Required
#4 Emergency Contact:
Phone:
#5 Name:
Age:
#5 Emergency Contact:
Phone:
#6 Name:
Age:
#6 Emergency Contact:
Phone:
#7 Name:
Age:
#7 Emergency Contact:
Phone:
#8 Name:
Age:
#8 Emergency Contact:
Phone:
#9 Name:
Age:
#9 Emergency Contact:
Phone:
#10 Name:
Age: Maximum group size is 10
#10 Emergency Contact:
Phone:
WAIVERS, MEDICAL RELEASES, PERMISSION SLIPS & BSA TOUR PERMITS

Tour leaders are responsible to have waivers, medical releases & any sponsoring organization permission slips secured before filling out his request form. The originals must be left with your emergency contact person at home, while copies must accompany the tour in the cave. Failure to have these forms will result in great financial liabilities for the Tour Leaders, possible delayed medical attention for their participants, and the ultimate closure of the cave due to this blatant neglect.

By checking off the following approvals you are testifying that you indeed have these signed hard copy documents in your possession.

WAIVERS:
REQUIRED FOR ALL PARTICIPANTS
MEDICAL RELEASES:
FOR ALL PARTICIPANTS
PERMISSION SLIPS:
REQUIRED FOR MINORS ONLY... Not Needed - All adult group
BSA TOUR PERMIT:
REQUIRED BSA GROUPS.... ... ... Not Needed - Non-BSA group
Comments:
 
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