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)
 
HOOSIER OPEN TOURNAMENTS
982 E. 1300 SOUTH
KOKOMO, IN 46901
765-457-3636 -  cell: 765-434-3636