Hood River Take-Out (also known as Punchbowl Falls access) at the confluence of the East and West Forks serves as a critical take-out point for West Fork paddlers and put-in for main stem Hood River runs.

The site features a parking area and trail access to the river confluence, though it requires a steep hike to reach the water and was historically private property before conservation efforts by Western Rivers Conservancy secured public access.

This is the only safe take-out for the Class IV+ West Fork section and an important legal access point for the main stem Hood River, making it essential for whitewater boaters in the Columbia Gorge.