While Kalaupapa is a National Historic Site, it is also the home of the few former patients who have chosen to remain there. So access, is by law, strictly regulated. Unless you are invited by one of the residents, you must take the tour offered by Damien Tours of Kalaupapa (about $60.00). The peninsula can be reached by air or by way of the trail that snakes down the sheer cliffs 1600 feet from upper Molokai. Visitors can hike in and out or ride one of the famous Molokai mules. Either way, Molokai Mule Ride can make the necessary arrangements. Visitors must be at least 16 years old.