Registration/Permission to Conduct Remote

Recreational Activities in the Kimberley Region’sParks 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 aLawful 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 great 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 WindjanaGorge 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 area 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. DPaWis 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 DPaWand having the correct equipment to deal with the challenges presented in these areas, it will help DPaWand 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 DPaWoffice (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 DPaWoffice.

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 DPaWKununurra 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 DPaWBroome Office:

  • WindjanaGorge National Park
  • King Leopold Ranges and Devonian Reef conservation parks.

Kununurra Broome

PO Box 942 Kununurra 6743 PO Box 65 Broome 6725

Phone (08) 9168 4200 Phone (08) 9195 5500

Applicantdetails
Name of applicant
(Natural person/Company Pty Ltd / Incorporated Association only)
If incorporated, please provide certificate of incorporation.
Address
Contact phone number / (W): (H):
Mobile
Satellite phonenumber
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 / Details (locations, dates etc)
Are you planning to camp other than in a designated camping area? / YES NO
Are you planning to light a campfire? / YES NO
Are you planning to ride a bicycle other than on a road or bicycle path? / YES NO
Are you planning to drive or use a vehicle other than on a road? / YES NO
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))? / YES NO
Are you planning to land or launch or make touch down in an aircraft? / YES NO
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. / YES NO
Typeofactivity:______
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 non-Government 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 andagencies 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 DPaWis 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 DPaWsuch 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:

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 / ………………………………………………………………………………
SignatureName
………………………………………………………………………………
WitnessName
Company Pty Ltd(executed in accordance with section 127(1) of the Corporations Act 2001 (Cth)) / ………………………………………………………………………………
Signature of director or secretaryName
………………………………………………………………………………
Signature of directorName
………………………………………………………………………………
WitnessName
Incorporated Association (executed in accordance with section 14(1)(b) of the Associations Incorporation Act 1987 (WA)) / ………………………………………………………………………………
Signature of person with authority Name
to bind the Incorporated Association
………………………………………………………………………………
WitnessName

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 Regulation4 (1)

LAWFUL AuthorityTO 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.

DPaWCONTACT

Name
Office
Phone / Fax / Email
After hours