Attachment available to only those that have individual e-mails. Attachment has
the waiver and entry form.
_______________________________________________________________

USA JUDO NATIONAL TEACHER’S INSTITUTE JUDO CLINIC
And COACH’S CLINIC “E“ LEVEL

November 11, 12 & 13, 2005

TEACHER HEAD CLINICIAN:
Frank Phillips, Rokudan (6th Dan)
Member of USA JUDO Certification Committee

COACHES HEAD CLINICIAN:
Fred Hand, Yondan (4th Dan)
USA Judo A Level Coach Certified

SPONSORED BY:
Samurai Judo & Jujitsu
Imperial Dragon Judo

LOCATION:
WEST LAKELAND CHURCH OF GOD
1942 MEMORIAL BLVD.
LAKELAND, FL. 33815

SANCTION: USA JUDO, USA #2005-50

ELIGIBLITY:
Member in good standing of USJI, USJA, or USJF
MUST BE A MEMBER IN USA JUDO TO BE CERTIFIED

CLINIC FEE:
$60.00 for the weekend
MUST BRING A COPY OF YOUR RANK AND A PASSPORT SIZE
PHOTO, AND AN UPDATED USJI MEMBERSHIP.
MAKE ALL CHECKS FOR CLINIC TO Frank Phillips
There will be a $6.00 FEE for Saturday lunch on-site.

NEED Separate Checks for Clinic Fee, and each
certification separately, and the background check.

CLINIC STAFF MEMBERS:
Edwin Maley Hachidan (8th DAN)
David J. Ellis Yondan (4th DAN)
Jimmy Willis Shodan (1st DAN)

CLINIC DIRECTOR:
Frank Phillips
HOME #863-858-2192
CELL #863-370-6604
E-MAIL: F.E. PHILLIPS @ JUNO. COM

HOTEL:
SAFAR INN
1817 MEMORIAL BLVD.
LAKELAND, FL. 33815
TEL: 863-688-9221 FAX: 863-687-4797

RATES: $55.00 PLUS TAX FOR SINGLE OCCUPANT
$65.00 PLUS TAX FOR DOUBLE OCCUPANT


For U.S.J.I. Teacher’s Certification and/or U.S.J.I.
Coach’s Certification:
Requires a USJI, USJF, or USJA Background Check. Must
bring proof of current USJI, USJF, or USJA Background
Check OR get a USJI Background Check for $16.00, good
for 4 years.

U.S.J.I. Teacher’s Certificate Fee:
Starting with this Clinic Your Teacher’s certification
will be good for Four (4) Years.

Class D Assistant: minimum rank Nikyu $10.00
Class C Instructor: minimum rank Shodan $10.00
Class B Associate: minimum rank Sandan $20.00
Minimum rank Nidan for Female $20.00
Class A Master: minimum rank Godan for Male $20.00
Minimum rank Yondan for Female $20.00

You MUST have a copy of your rank certificate for a
Teacher’s Certification and a copy of your current
USJI Membership card.
You may sign-up for U.S.J.I. membership at
registration.

U.S.J.I. Coach’s Certification Fee:
CLASS E USJI COACH’S CERTIFICATION AND BADGE FEE
IS $25.00.
YOU WILL NEED A PASSPORT PHOTO AND COPY OF YOUR
RANK CERTIFICATE.

(This is a tentative schedule, schedule may change as
necessary.)

SCHEDULE :
FRIDAY, NOVEMBER 11, 2005
Registration: 6:00 PM TO 7:00 PM AT CHURCH
GYM.

First Session: 7:00 PM TILL 10:00 PM
First session will cover teaching instruction and
refereeing.
USJA members can get certified for Local or Regional
Referee. For USJA referee certification, a written
referee test and a practical referee test will be
given. Must be a USJA member to get certified.

SATURDAY, NOVEMBER 12, 2005
Registration: 8:00 AM TO 8:30 AM.

C. P. R. Certification Class 8:45 am - 12:45
pm.
Fee is $10.00
Mr. Jim Willis will be the Instructor.

Break for Lunch of One (1) Hour.
Meal available for $6.00 (If you choose to eat this
meal, it must be paid for at registration)


COACHES CERTIFICATE CLASS - 2:00 PM. - 6:00 PM

Mr. Fred Hand, Class A Coach., will teach the
class for USJI Class E Coach Certification.

Break for Dinner: 6:00 pm till 7:30 pm.
Second Session: 7:30 pm till 10:00 pm
N.T.I. and REFEREEING
Taught by Mr. Frank Phillips, N.T.I. staff member
Class A Teacher
and
Mr. David J. Ellis, National USA Judo Referee

SUNDAY, NOVEMBER 13, 2005 – 8:30 A.M.
ALL SUNDAY SESSIONS WILL BE HELD AT KELLY RECREATION
CENTER
400 IMPERIAL BLVD., LAKELAND, FL.


Third Session: 8:30 am till 12:00 noon

Mr. Edwin Maley, Hachidan 8th Dan
Judo History and U.S.A. Judo History and Judo
Philosophy.

Mr. David J. Ellis, Yondan 4th Dan
David will go over rules for Judo and will have ONE
(1) Hour for questions and answers.

Mr. Fred Hand, Yondan 4th Dan
Fred will speak to us about the need to coach our
students at tournaments and the difference between
coach and Teacher.




OPEN FOR QUESTIONS AND ANSWERS.

Mr. Frank Phillips, Rokudan 6TH DAN
Frank will speak to us about setting up events and why
it is important to be certified.