| HOOSIER OPEN TOURNAMENTS | |||
| 2011 HOT ENTRY | |||
| (please print clearly) | |||
| ___ Patoka 3-20-11 ____ Monroe 7-17-11 | |||
| ___ Patoka 5-08-11 ____ Monroe 8-07-11 | |||
| ___ Rocky Pt. 6-05-11 ____ Patoka 8-28-11 | |||
| Classic: Rocky Point, September 17 & 18 | |||
| (All Tournaments on Indianapolis Time) | |||
| *Boater's Name: | |||
| Address: | |||
| City, State, Zip: | |||
| Phone: ( ) Age: | |||
| E-mail: | |||
| Boat (yr., make, model): | |||
| Motor (yr., make, model): HP: | |||
| *Partner's Name: | |||
| Address: | |||
| City, State, Zip: | |||
| Phone: ( ) Age: | |||
| E-mail: | |||
| SUBSTITUTION | |||
| (complete only when using a sub) | |||
| ______________________ will be substituting for _________________________ | |||
| (include subs address above) (member of original team) | |||
| I have read and am familiar with the rules and in signing this application | |||
| I hereby waive and release all contestants, sponsors, tournament and state | |||
| officials from all claims due to injury or damage incurred in connection with | |||
| all 2011 Hoosier Open Tournaments. In signing, I submit myself to a truth test | |||
| at the discretion of tournament officials and agree to abide to the results as | |||
| interpreted by professional conducting the test. I also agree to abide by | |||
| those decisions and rulings of the director conducting these events. I swear | |||
| that the above facts are true and accurate to the best of my knowledge. | |||
| NOTE: The signatures and SS# below and addresses above are only | |||
| required one time per person per season (first tournament fished). | |||
| PLEASE LET US KNOW OF ADDRESS CHANGES. | |||
| Signature __________________________________________________ | |||
| Social Security No. __________________________________________ | |||
| Partner's Signature__________________________________________ | |||
| Social Security No. __________________________________________ | |||
| Send entry and $130 per event to: (includes Big Bass) |
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| HOOSIER OPEN TOURNAMENTS | |||
| 982 E. 1300 SOUTH | |||
| KOKOMO, IN 46901 | |||
| 765-457-3636 - cell: 765-434-3636 | |||