We visited with our 12month old son - it's a 15min ish walk through some pretty forest to get to the falls, but not particularly strenuous (we even saw someone get down there with a stroller, though probably not recommended!).
The falls themselves are a good sight but the fun is swimming in them! I'm told the higher falls get better, but as we had the baby we stayed at the bottom.
You do have to pay an entry fee, though we didn't take the guide with us and those who had did seem to have to leave when the guide told them not when they chose! It was about $40TT for foreigners and $30TT for locals, which seemed steep for access, but still go visit!!
There is a small drinks place at the start place, but worth taking drinks/food with you which you can easily get in the village on your way in!
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