Membership Application

MEMBER PRIVILEGES

24/7 river access
Shannon’s Shack access
Stocked fridge during the spring through fall (burgers, dogs, drinks, snacks)
Spring cook-out event
Members’ reception/holiday party at the Inn
Priority insights on river conditions
Guest access rights for a $75.00/day rod fee*
Access to the ponds at Black Oak Golf club*
* Some restrictions apply

Date

YYYY

Applicant Name

First Name

Last Name

Applicant Cell Phone

(###)

###

####

Applicant Email

Applicant Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Additional Member Information

For Family or Group Membership Applications Only

Additional Member Name

First Name

Last Name

Additional Member Email

Other Additional Members

Provide the names of any other additional members to be included in the membership here...

Primary Vehicle Information

Vehicle Make

Vehicle Model

License Plate Number

Emergency Contact Information

Emergency Contact Name

First Name

Last Name

Emergency Contact Phone

(###)

###

####

Special Considerations (optional)

Please list any special needs you may have or medical issues we should be aware of...

Data Privacy Notice and Consent

By submitting this application, I give permission for my data to be held in the Shannon’s Private Waters database and agree that the staff may process personal data relating to me for personnel, administration and/or management purposes. I also acknowledge that my fishing activity data will be visible to all club members and staff.

Profile Visibility Preference

We encourage members to make your contact information available to other club members via the online Members’ Portal, but we understand if you'd like your profile to remain private.

Make My Profile PUBLIC

Make My Profile PRIVATE