Application Form
The completed Application Form should be returned to the Louisville Parks and Recreation
Volunteer Office to be eligible for partnership under the Mayor’s Adopt-A-Park Program.
Return by mail to: Louisville Parks Volunteer Office, P.O. Box 37280 Louisville, KY 40233 or email to Questions? Call 1-502-574-6403 or email
Volunteer Leader 1:
Volunteer Leader 2:
Volunteer Leader 3:
City/State/Zip Code:
Phone: Email:
Name of park your group would like to adopt for the upcoming year:
Is there a specific area within the park you’d like to focus on? If so indicate:
Describe the specific activities/tasks your group would like to perform at this park:
Office Use Only:
Approved Denied Staff signature: Date:
Explanation if denied:
Training date:
Date Started: