Become a Chapter

 Northwest Chapter: Washington State


Essay Contest Registration Form

Sponsored by Women’s Federation for World Peace

Washington, DC Chapter

Deadline: All applications must be postmarked May 15, 2009

Please print or type:


                  Last                                                                 First                                                        Middle


HOME ADDRESS: _______________________________________________________



     City                                                                                  State                                                       Zip Code


TELEPHONE NUMBER: (_______) _________________________________________


CELL: (_______) _____________________ EMAIL: ____________________________


HIGH SCHOOL: _____________________________ GRADUATION YEAR: _______


ESSAY WORD COUNT: ______________


ARE YOU OR ANY MEMBER OF YOUR IMMEDIATE FAMILY A MEMBER OF WFWP?       Yes _____                   No _____


HOW DID YOU HEAR ABOUT THIS CONTEST?  ____________________________


Declaration and Consent

I confirm that the information provided on this application and attached hereto, is complete and accurate in every respect.  I authorize WFWP to reproduce this essay in any form.  I understand that my photo may be used with my essay in any publication.  I also agree to attend the awards ceremony in Washington DC on May 30.  I understand that my essay will not be returned to me. 


Parent Signature:_______________________________         Date:___________________


Student Signature: _____________________________           Date: ___________________


Attach this registration form to your essay and mail it to:



P.O. Box 3243

Washington, DC 20010


All applications must be postmarked by May 15, 2009.  Email submissions will not be accepted.