Lake Worth offers four public boat ramp access points operated by the City of Fort Worth, including Arrow 'S' Park (two-lane concrete ramp with 50-vehicle parking), Casino Beach Park (one-lane concrete ramp with 20-vehicle parking), and Sunset Park (one-lane ramp for small craft only with 20-vehicle parking), plus a kayak/canoe launch at Fort Worth Nature Center.

All ramps charge a fee and are open year-round, though boaters should be aware that zebra mussels have invaded the reservoir and boats must be cleaned, drained, and dried before leaving to prevent spread to other water bodies.