Registration/Permission to Conduct Remote
Recreational Activities in the Kimberley Region’s Parks and
Reserves
INFORMATION FOR APPLICANTS
This form should be completed if you intend to visit remote areas of parks and reserves in the Kimberley to undertake a recreational
activity. Permission by what is called a Lawful Authority may be required to undertake that activity under the Conservation and Land
Management Act 1984 (CALM Act) and the Conservation and Land Management Regulations 2002 (CALM Regulations),
especially where these take place outside the current campgrounds and existing visitor facilities.
National Parks and conservation reserves in the Kimberley have long been iconic tourism attractions with a growing number of
people from all over the world coming to appreciate the unique conservation and cultural values of one of the world’s last gr eat
frontiers. The Department of Parks and Wildlife (DPaW) provides many camping and bushwalking facilities in parks across the region
including camping grounds, walking trails, lookouts, toilets and other visitor facilities at the most regularly visited areas of these
parks. Parks such as Windjana Gorge National Park and the world heritage listed Purnululu National Park (Bungle Bungles) have
world-class camping facilities, day use sites and walk trails open to all. Registration or Lawful Authority is not required to visit these
areas.
There are a growing number of people who want to explore the less visited areas of these parks and experience the rugged beauty,
spectacular landforms and cultural values of the parks. DPaW is keen to encourage responsible, safe and sustainable access to
these areas and this form will assist people to safely access and use areas that don’t have standard visitor facilities while also
providing information for a safe and enjoyable visit.
As your safety is a primary concern for DPaW, this form can provide details that will assist in the event of an evacuation or rescue in
such cases as wildfires, severe weather events or visitors needing assistance in an emergency. By providing your location to DPaW
and having the correct equipment to deal with the challenges presented in these areas, it will help DPaW and other emergency
authorities to assist you if necessary.
There are some activities that, when undertaken on land, or land and waters to which the CALM Act applies (CALM land), require
what is called “Lawful Authority” under the CALM Regulations. These include (but are not limited to):

Camping in areas that are not designated camping areas;

Lighting a camp fire;

Riding a bicycle other than on a road or a bicycle path;

Driving or using a vehicle other than on a road;

Using an off-road vehicle that is not registered under the Road Traffic Act 1974 (WA)

Landing or taking off in an aircraft (including helicopters);

Using a firearm; and

Travelling with dogs, cats or horses.
Aboriginal people have strong connections to the land DPaW manages in the Kimberley. DPaW is committed to moving to Joint
Management of reserves with Traditional Owners and supporting their native title rights and aspirations. As such, DPaW has agreed
to refer all remote recreational activities applications to the relevant Traditional Owners through their Prescribed Body Corporate,
established Joint Management Bodies or other recognised Aboriginal entities. Traditional Owners will have 20 days to respond and
DPaW has agreed that it will not issue any permit to which the Traditional Owners object.
If no response is received within the 20 days, DPaW will issue the permit but entry to the park will be conditional on the applicant
gaining approval from Traditional Owners to enter any DPaW managed lands that are subject to exclusive possession native title. If
this is the case, DPaW will advise you how to gain permission in responding to your application.
Please discuss your plans with the appropriate DPaW office (see below) at an early stage to determine whether you require lawful
authority or have any other questions.
This form should be used for non-commercial activities only. If you intend to conduct a commercial activity, such as a tour or an
event, you must complete an application for a commercial operations licence.
Applicants may need approval from Traditional Owners prior to commencing activities. Please contact the relevant DPaW office as
soon as possible for more information.
Additional licences, permits, approvals etc. may also be required under other legislation. If in doubt, please contact the appropriate
DPaW office.
Applications must be received 28 days prior to commencement of the activity. Applications not received within this timeframe risk not
being approved.
For the following parks please forward your application to the DPaW Kununurra Office:

Mitchell River, Lawley River, Drysdale River, Purnululu and Prince Regent national parks

Camp Creek and Laterite conservations parks.
For the following parks please forward your application to the DPaW Broome Office:

Windjana Gorge National Park

King Leopold Ranges and Devonian Reef conservation parks.
Kununurra
PO Box 942 Kununurra 6743
Phone (08) 9168 4200
kununurra@dpaw.wa.gov.au
Broome
PO Box 65 Broome 6725
Phone (08) 9195 5500
broome@dpaw.wa.gov.au
Applicant details
Name of applicant
(Natural person / Company Pty Ltd
/ Incorporated Association only)
If incorporated, please provide
certificate of incorporation.
Address
(W):
(H):
Contact phone number
Mobile
Satellite phone number
Email
Group details
Names of other persons you are
travelling with.
Location
Which park/s and/or reserve/s do you plan
to visit?
Which locations in the park/s and/or
reserve/s do you plan to visit?
Please attach a map (at a scale of approximately 1:50,000) showing intended locations, routes and camping
sites (as applicable).
Dates of activities
Start date:
Finish date:
Itinerary
Activity/Activities
Activity
Please circle
Are you planning to camp other than
YES
NO
Are you planning to light a campfire?
YES
NO
Are you planning to ride a bicycle
YES
NO
YES
NO
YES
NO
YES
NO
YES
NO
Details (locations, dates etc)
in a designated camping area?
other than on a road or bicycle path?
Are you planning to drive or use a
vehicle other than on a road?
Are you planning to drive or bring an
off-road vehicle (i.e. a vehicle which
is not registered under the Road
Traffic Act 1974 (WA))?
Are you planning to land or launch or
make touch down in an aircraft?
Are you planning to carry out other
activities in respect of which lawful
authority is required under the CALM
Act or CALM Regulations? If yes,
insert details.
Type of activity:
___________
_______________________________
_______________________________
_____________________________
Vehicle/vessel parking arrangements
Make/model
Colour
Registration number
Location
Search and rescue information – Please provide separate information for each participant
Age
Medical conditions
Physical condition
Field experience in Northern Australia
Clothing and provisions profile
Equipment profile
Contact details of next of kin
This information is requested for search and rescue purposes only.
PART 2 – Checklist, Insurance Details and Indemnity
The CHECKLIST below is to be completed by ALL, including Government schools, departments and agencies and nonGovernment organisations (e.g. private schools, community groups), irrespective of whether lawful authority is required or
not.
The remaining of Part 2 of this form only needs to be completed if you require “lawful authority” under the CALM Act and
CALM Regulations. If in doubt, please contact the appropriate DPaW office.
Government schools, departments and agencies are not required to complete the Public Risk Insurance and the Deed Poll
of Part 2 of this Form. However, non-Government organisations (e.g. private schools, community groups) are required to
do so.
Checklist
At least one member of my group will carry a satellite phone.
At least one member of my group will carry a registered 406MHz Personal Locator Beacon.
I understand that DPaW is not responsible for any search and/or rescue operation or any costs that may be incurred for such
operations by me or other members of my group.
I am aware of the risks associated with intended travel to remote parts of the Kimberley and that access is limited,
communications may be poor or non-existent, extended recovery times in case of emergency may apply and factors outside of
the control of DPaW such as unplanned bushfires may impact on our excursion.
I am aware of appropriate actions to take in the event of bushfire, injuries or other emergency.
I have prepared an Emergency Management Plan (EMP), a copy of which will be held by a reliable family member or friend
and activated on failing to return at the planned time. I have also lodged the EMP with the local police and the appropriate
DPaW office.
I am aware that non life threatening recovery from remote locations may require the use of a helicopter. I have preparations
in place with suitable companies with suitable aircraft to facilitate any recovery (please add in ‘Further Details’ below).
I am aware that helicopter recovery may exceed $5,000, and I have sufficient resources or insurance to cover non life
threatening recovery using a helicopter.
I understand the requirements that at least four (4) people should comprise any group trekking in the Kimberley area. (This is
to ensure that in case of an accident or injury there is one (1) person to stay with the injured person and two (2) to go for help.).
I have read and understand the seven principles of the Leave No Trace program. See: http://www.lnt.org.au/programs/7principles.html#travel
Further Details
Public risk insurance
Community and other groups who owe a duty of care to the participants carrying out the activity may be
required to demonstrate they have public risk insurance. If you are unsure, please contact the appropriate
DPaW office.
Name of Insurer
Policy Number
Amount of Coverage
(Must be a minimum of AUD$10 million)
Expiry Date
Deed Poll
I:
(Name of Natural person / Company Pty Ltd / Incorporated association)
(a) certify that to the best of my knowledge the information provided within this application is true and correct in every
detail; and
(b) do hereby agree to release and indemnify and keep released and indemnified the Chief Executive Officer of the
Department of Parks and Wildlife, the State of Western Australia, the Water Corporation, and each of their
employees, contractors and agents (“the Indemnified Parties”) from and against all:
(i)
claims, demands, actions, suits, and proceedings (whether under the law of contract, tort, a written law or
otherwise); and
(ii) damages, liabilities, losses, costs (including legal costs) and expenses,
(i)
which may be made or brought against or suffered or incurred by the Indemnified Parties arising from, or
in connection with, my activities on, use of, or presence on CALM land, except to the extent that any
claims, actions, demands, suits, proceedings, damages, liabilities, losses or costs made or brought
against, suffered or incurred by the Indemnified Parties are as a result of the Indemnified Parties’
negligence.
Executed as a deed on
………………………………………
Date
Natural person
Company Pty
Ltd (executed
in accordance
with section
127(1) of the
Corporations
Act 2001 (Cth))
Incorporated
Association
(executed in
accordance with
section 14(1)(b)
of the
Associations
Incorporation
Act 1987 (WA))
………………………………………
Signature
………………………………………
Name
………………………………………
Witness
………………………………………
Name
………………………………………
Signature of director or secretary
………………………………………
Name
………………………………………
Signature of director
………………………………………
Name
………………………………………
Witness
………………………………………
Name
………………………………………
Signature of person with authority
to bind the Incorporated Association
………………………………………
Name
………………………………………
Witness
………………………………………
Name
DPaW OFFICE USE ONLY
Endorsements
Senior Ranger
Date sighted
Name
Signature
_____________________________________________
District Fire Coordinator
Date sighted
Name
Signature
_____________________________________________
District Nature Conservation Officer
Date sighted
Name
Signature
_____________________________________________
District Parks and Visitor Services Operations
Officer
Date sighted
Name
Signature
_____________________________________________
Regional Manager/District Manager
(strike out which not applicable)
Date sighted
Name
Signature
_____________________________________________
DPaW OFFICE USE ONLY
CONSERVATION AND LAND MANAGEMENT REGULATIONS 2002 Regulation 4 (1)
LAWFUL AUTHORITY TO CONDUCT
CERTAIN RECREATIONAL ACTIVITIES
This lawful authority is a written notice for the purposes of regulation 4(1) of the Conservation and Land Management
Regulations 2002 (CALM regulations) and it grants lawful authority to the person named herein as the authority holder
to undertake certain activities in the areas specified below, an act that would otherwise be unlawful under the
regulations.
This authority is not valid without the signature of the Chief Executive Officer or a delegate of the CEO (Regional or
District Manager/Regional Parks Manager) of the Department of Parks and Wildlife (DPaW).
The Chief Executive Officer of the Department of Parks and Wildlife hereby grants to:
Lawful Authority to conduct the following activity/activities subject to the Conditions of Approval set out below:
Camping other than in a designated camping area (regulation 66 of the CALM Regulations).
Lighting, kindling, maintaining or using or assisting another person in lighting, kindling, maintaining or using a campfire
(regulation 39 of the CALM Regulations and section 104 of the Conservation and Land Management Act 1984 (CALM Act).
Riding a bicycle other than on a road or bicycle path or in a designated area (regulation 51A of the CALM Regulations).
Driving or using a vehicle other than on a road or in a designated area (regulation 51 of the CALM Regulations).
Driving or bringing an off-road vehicle (regulation 52 of the CALM Regulations).
Landing, launching or making touch down in an aircraft (regulation 65 of the CALM Regulations).
Other:
As a delegate of the CEO under Section 133(2) of the Conservation and Land Management Act 1984
(Name)
(Signature)
(Date)
This lawful authority is issued subject to the provisions of the Conservation and Land Management Regulations 2002,
the terms and conditions set out in Schedule 1 and Schedule 2 – Additional Site Specific Conditions, (attached if
applicable).
This lawful authority is valid for the period specified below:
Start date:
Expiry date:
Upon arrival to commence the activities listed above, please report to the following DPaW officer:
Name:
Telephone:
CONDITIONS OF APPROVAL
1.
2.
3.
DPaW CONTACT
Name
Office
Phone
Fax
Email
230120406
After hours