RESIDENT MEMBERSHIP
Application of:………………………………… D.O.B………… S.S.#…………………
Address …………………………………………………. Phone (H) ……………………
………………………………………………… Phone (O) …………………….
Sponsoring Member(s) …………………………………. E-Mail ………………………
I hereby make application for resident membership to the Pine Lake Trout Club.
I understand that resident membership includes the immediate members of my family,
living at the same address, including children under the age of 21. All others are
considered guests and subject to the daily guest fee for fishing privileges.
1. Mail the application with a check for $1000.00 (plus 6.75% sales tax) non-refundable,
one-time initiation fee. (Currently initiation fee is being waived until July 1, 2016.)
2. Membership card will be mailed within 30 days of receipt of your application.
Billing will be sent monthly for all subsequent charges.
3. Monthly resident dues fee is $155 (plus 6.75% sales tax) per month.
4. The Club requires a $50 (plus 6.75% sales tax) per month food minimum for dining.
5. Change to the membership must be in writing to the Club 30 days prior to the
effective date of change.
6. ……….(initials) All charges are due monthly on receipt of statement. Any
delinquent account will be charged a 2% monthly finance charge.
7. Failure to keep your account to date, will result in loss of privileges and possible
suspension and/or cancellation.
8. Signature of the application indicates agreement to abide by the club rules and
regulations on the reverse side.
9. Pine Lake Trout Club accepts American Express, Mastercard or Visa of payment of
the initiation fee or settlement of your monthly account.
Signed By …………………………………………………… Date ………………….
Accepted For Pine Lake ……………………………………. Date ………………….
Liquor lockers are available for $6.00 per month.
….. Please reserve a locker
….. Not interested in a locker at this time.
A copy of this application and rules will be returned with your membership card.
PINE LAKE TROUT CLUB
P.O. Box 23282, Chagrin Falls, Ohio 44023 (440) 543-1331
Web Site pinelaketroutclub.com
MEMBER DATA
To help us serve our membership, we request the following information.
Names and birth dates of
All members of the family …………………………………………………………………
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…………………………………………………………………
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Company or Firm
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CLUB RULES AND REGULATIONS
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Guest fee for fishing: Weekdays - $7.00/Weekends - $9.75 per guest.
Fishing hours – 9:00 a.m. until dark, Tuesday through Sunday
All members must register upon arrival, before fishing.
Members may choose to keep all fish caught at the current pound rate, sign up for the
daily catch & release program at $15 per day or sign up for the annual catch & release
program at $200 for the year (April 1 to March 31) no pro-rated fee available.
5. Large fishing groups must be arranged in advance (over 10 people).
6. No live bait allowed, except in the upper lake; streams are reserved for fly fishing
only. No fishing off Lodge porch.
7. The club is closed on Mondays. The Log Cabin Dining Room is open for lunch
Tuesday through Saturday from 11:30 a.m. to 2:30 p.m.; Sunday Brunch (a la carte) is
served 11:30 a.m. to 2:30 p.m. Dinner is served Tuesday through Saturday 5:30 p.m.
to 9:00 p.m.; Sunday from 5:00 p.m. to 8:00 p.m. Reservations are strongly
suggested and should be made for the time you plan to dine, not the time you plan to
arrive at the club.
8. The Log Cabin Dining Room and the members lodge is non-smoking.
9. Pine Lake Trout Club operates as a bottle club. All beer, liquor and wine must be
brought in by the member. The club charges minimal fees for set-ups, corkage and
handling fees. Liquor storage lockers are available in the Member Lounge at a fee of
$6.00 per month per locker.
10. Pine Lake is a tipping club. Tips should be based on service received.
11. Children must be directly accompanied and supervised by a parent or adult at all
times while on club property.
12. Members are responsible for the conduct of their family and guests.