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Grand Canyon Noncommercial River Permits - Create Profile, Step 1

Step 1 of 2: Choose a user name and password, enter your date of birth and legal name

Important Notes

  • YOU ARE ALLOWED ONLY ONE ACCOUNT IN THIS SYSTEM! Having more than one profile in the lottery system can result in any trip won through a lottery being forfeited. If you created a profile earlier, but forgot your user name or password, visit the Forgot Login web page or contact the Grand Canyon River Permits Office at grca_riv(insert the at symbol here)nps(insert a dot here)gov or 928-638-7843 or 800-959-9164 (Mon-Fri) for assistance. Do not create a new (second) account!
  • You must be 16 YEARS OR OLDER to create a profile.

All information is required.

User name Your user name must:
  • start with a letter
  • contain only letters and numbers
  • be between 4-20 characters in length
  • be unique (your user name cannot already be in our system)
Password Your password must:
  • be between 12-128 characters in length
  • contain at least 1 uppercase character (A-Z)
  • contain at least 1 lowercase character (a-z)
  • contain at least 1 number (0-9)
  • contain at least 1 special character
    ! # $ % & ' ( ) * + , - . / : ; < = > ? @ [ \ ] ^ _ ` { | } ~
  • not have more than 2 identical characters in a row
  • not contain your user name

Show my typing

Date of Birth You must be 16 years of age or older to create an account.
Full Legal Name Enter your legal name, as shown on your passport or driver's license (no nicknames). For your middle name, enter just the first letter.
(first name should only contain letters, space, or a dash)
if your identification has a middle name, enter first letter of middle name

OR

(last name should only contain letters, space, period, comma, apostrophe, or a dash)

By creating a river profile, entering a noncommercial river lottery, or submitting a noncommercial river permit application, you are consenting to the use of your information as described in the Purpose and Uses section of the Privacy Act Statement, NPS Form 10-404, OMB Control No. 1024-0022, Backcountry/Wilderness Use Permit Application.

NPS Form 10-404, OMB Control No. 1024-0022, Backcountry/Wilderness Use Permit Application

NPS Form 10-404 (Rev. 04/2021)
OMB Control No. 1024-0022

National Park Service
Expiration Date 01/31/2024

BACKCOUNTRY/WILDERNESS USE PERMIT APPLICATION

NOTICES

Privacy Act Statement

General:This information is provided pursuant to Public Law 93-579 (Privacy Act of 1974), December 21, 1984, for individuals completing this form.

Authority: 54 U.S.C. §100101, NPS Organic Act; 16 U.S.C. 1131-1136, Wilderness Act; 43 U.S.C. §1701 et seq.,16 U.S.C. §6801-6814, the Federal Lands Recreation Enhancement Act; 36 CFR Part 71, Recreation Fees; 36 CFR 1.6, Permits; and 36 CFR 2.23 Recreation Fees.

Purpose and Uses: To establish and verify an applicant's eligibility for a permit to conduct certain activities within the National Park System and to process permits for individual members of the public and organizations interested in obtaining a permit authorizing an activity. Information collected will be used to provide the public and permittees with permit-related information, to monitor activities conducted under a permit, to analyze data and produce reports to monitor the use park resources, to assess the impact of permitted activities on the conservation and management of protected species and their habitats, and to evaluate the effectiveness of the permit programs. The DOI and NPS may use the information to meet reporting requirements, to generate budget estimates and track performance, and to assist park staff with visitor education, fee collection, resource management and protection, recreational use planning, law enforcement and public safety personnel for such purposes as emergency contact and search and rescue efforts; to provide permit holders and participants with information about parks and their partners; and to provide reports of activities conducted under an issued permit.

Based on the disclosures generally permitted under 5 U.S.C. 552a(b) of the Privacy Act, the National Park Service may share information with first responders and Federal, state, and local governments to provide information needed to locate an individual or render aid in an emergency; to recover debts owed to the United States; to respond to a violation or potential violation of the law; in response to a court order and/or discovery purposes related to litigation; or other authorized routine use when the disclosure is compatible with the purpose for which the records were compiled.

Effects of Nondisclosure: It is in your best interest to answer all of the questions. The U.S. Criminal Code, Title 18 U.S.C. 1001, provides that knowingly falsifying or concealing a material fact is a felony that may result in fines of up to $10,000 or 5 years in prison, or both. Deliberately and materially making false or fraudulent statements on this form will be grounds for not granting you a Backcountry/Wilderness Use Permit.

Paperwork Reduction Act Statement

We are collecting this information subject to the Paperwork Reduction Act (44 U.S.C. 3501) and 36 CFR 1-7, 12 and 13 which authorize the National Park Service to require applicants to fill out this form to monitor resources and to protect visitors. This information is being collected to allow the park management to make value judgements necessary to enhance the safety and enjoyment of both the visitors and wildlife. All applicable parts of the form must be completed in order for your request to be considered. You are not required to respond to this or any other Federal agency-sponsored information collection unless it displays a currently valid OMB control number.

Estimated Burden Statement

Public Reporting burden for this form is estimated to average 8 minutes per response, including the time it takes for reviewing instructions, gathering and maintaining data, and completing and reviewing the form. Comments regarding this burden estimate or any aspect of this form should be sent to the Information Collection Clearance Officer, National Park Service, 1201 Oakridge Drive, Fort Collins, CO 80525. Do not send this application to this address but rather to the park address.

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