Fair Hill NRMA offers fishing access to Big Elk Creek, a stocked put-and-take trout stream running the entire length of the property, with a disabled-accessible fishing pier available.

The 5,600-acre natural resources management area features multiple parking areas throughout and approximately 80 miles of trails for hiking and biking, with a $3-$5 daily honor box fee.

Paddlers can access the Big Elk Creek and Christina River headwaters, though trails can be muddy and hilly, particularly in spring and early summer.