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Referee Clinic with Juan Carlos Barcos, Carlos Diaz, Joon Chi ...

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2004 United States Judo Federation<br />

41 st National Championships<br />

Honolulu, Hawaii<br />

<strong>Referee</strong> Seminar Registration Information<br />

Thursday, July 1, 2004<br />

Friday, July 2, 2004<br />

9:00 AM – 5:00 PM<br />

Registration Fee: $50.00<br />

Site to be announced<br />

Special Guest <strong>Clinic</strong>ians:<br />

Professor <strong>Juan</strong> <strong>Carlos</strong> <strong>Barcos</strong><br />

International Judo Federation <strong>Referee</strong>ing Director<br />

Professor <strong>Carlos</strong> <strong>Diaz</strong><br />

Pan American Judo Union <strong>Referee</strong>ing Director<br />

USA <strong>Clinic</strong>ians:<br />

Professor <strong>Joon</strong> <strong>Chi</strong><br />

Pan American Judo Union <strong>Referee</strong> Commission Member<br />

USJF <strong>Referee</strong> Development & Certification Committee Chairman<br />

Professor Noboru Saito<br />

USA Judo <strong>Referee</strong> Commission Chairman<br />

Professor Hector Estevez<br />

Pan American Judo Union <strong>Referee</strong> Commission Secretary<br />

USJF <strong>Referee</strong> Development & Certification Committee Vice-Chairman<br />

Space limited to first 50 participants<br />

For additional information, please contact:<br />

Keith Hayashi<br />

USJF <strong>Referee</strong> Development & Certification Committee Secretary<br />

808-479-3494 or at USJFRefSemHI2004@hawaii.rr.com


2004 United States Judo Federation<br />

41 st National Championships<br />

Honolulu, Hawaii<br />

<strong>Referee</strong> Seminar Registration Form<br />

Name ______________________________________________<br />

Address ______________________________________________<br />

City ________________ State _________________<br />

Zip ________________ Country _________________<br />

Home phone ____________ Cellular phone______________<br />

Email ________________________<br />

<strong>Referee</strong> Seminar Participation<br />

___ I will attend on July 1 and 2, 2004 ($50.00)<br />

*Judogi mandatory for July 2 nd session.<br />

___ I will referee at the USJF National Championships<br />

___ I will not referee at the USJF National Championships<br />

___ I will attend on Thursday, July 1, 2004 ONLY ($50.00)<br />

___ I will referee at the USJF National Championships<br />

___ I will not referee at the USJF National Championships<br />

___ I will attend on Friday, July 2, 2004 ONLY ($50.00 )<br />

*Judogi mandatory for July 2 nd session.<br />

___ I will referee at the USJF National Championships<br />

___ I will not referee at the USJF National Championships<br />

___ I will not be able to attend the seminar, but I will referee at the<br />

USJF National Championships on July 3 rd and 4 th .<br />

Special Souvenir Gift Shirt for individuals refereeing at the tournament and<br />

registering before April 16, 2004.<br />

Adult Size (please circle one) S M L XL XXL Other _____<br />

___ I am a member of the United States Judo Federation<br />

Please complete the registration information and attach payment.<br />

Checks payable to: United States Judo Federation<br />

Mail to: Keith Hayashi, 1635 Hooheke Street, Pearl City, Hawaii 96782

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