WPA Student Summit 2003 registration

Please register in advance

NAME___________________________________________     Grade _______ Address ___________________________________________________ City, State, Zip __________________________________________________ Phone ________________ E-mail __________________________________ School __________________________________________ Registration:   $ 20.00 Extra luncheon tickets (___) @ $15 ea.   $______ Total enclosed:   $______

Please send registration form, poem and check so they are received by April 5, 2003. Students should include an original poem for the critique workshop. S tudents who register after April 5 should bring 20 copies of their poem with them.

Enclose $20 check or money order to WPA and mail to:

WPA Student Summit
721 Schooner Court
Moses Lake, WA 98837

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