All visitors must obtain a permit from the Hawai'i State Department of Health to enter the Kalaupapa Settlement. The commercial tour company arranges the permit for their customers. Guests of residents have their permits arranged by their sponsor. No children under the age of 16 are allowed in the Kalaupapa Settlement. Reservations are required for commercial tours of the settlement, mule rides on the trail and air flights. Visitors are encouraged to make these reservations in advance.