The National Cave Rescue Commission is led by a Board of Regional Coordinators representing each of the 10 NCRC regions (Caribbean, Central, Eastern, Northeastern, Pacific Northwest, Rocky Mountain, South Central, Southeastern, Southwestern, and Western). The Board also includes a Medical Coordinator, Diving Coordinator, Training Coordinator, and National Coordinator (who serves as the NCRC’s executive officer). The NCRC depends on many dedicated volunteers to carry out its assigned mission. If you want to assist the Society through the NCRC, please contact the National Coordinator or the Regional Coordinator serving your state.

The NCRC sponsors a weeklong Cave Rescue Operations and Management Seminar each year in various locations around the U.S. The seminar serves as a "boot camp" of cave rescue and involves three levels of training. Cave rescue is constantly evolving, and various techniques are presented at each year’s seminar. The seminar emphasizes rescuer preparedness and safety, cave travel skills, understanding the cave environment, patient care and stabilization, evacuation techniques applicable to cave passage, single rope techniques for personal movement, rope rescue techniques, medical considerations, underground communications, and incident management. In addition to this weeklong national seminar, the various regions also sponsor weeklong seminars, weekend Cave Rescue Orientation Courses, and other specialized training.