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EPC 2019 Registration Form
Assalamu alaikum wa rahmatullahi wa barakatuhu!

May this registration form find you good in health and strong in Imaan.

The time for this year’s Essay Panel Competition has arrived once more! We have selected the theme, settled the event date and venue, and we’re looking forward to your participation in our Annual EPC January 26, 2019 at the ADAMS Center, Sterling, Virginia ; In shaa’ Allah.

Saturday, January 26th, 2019
9:00am – 4:30pm
46903 Sugarland Rd, Sterling, VA 20164

We request you only submit one form per competitor.

Please complete this form and mail your check (payable to The Mafiq Foundation) or pay through Paypal.

The Mafiq Foundation
P.O. Box 4916
Silver Spring, MD 20914-4916;

Registration fees: (Early by December 31, 2018): $20 + $5 if also applying to compete in Poster or Multimedia portions.

On-Site Registration Fee: $25 + $10 for Poster or Multimedia competitions, if participating.

For more information regarding EPC 2019, please visit If you have any questions, comments, or concerns, feel free to contact us at

Email address *
Parental Agreement - Applicable to any parent whose child earns 1st, 2nd, and 3rd place or is recognized with an award of "Special Essay", or "Special Speech" in EPC 2019.
PRE-ORDER - Young Muslim Voices (Please enter your (PARENT) email address on the block below) *
I agree to pre-pay $10 to purchase at least one copy of YMV Volume 8, if my child places in aforementioned positions (who's work will be published in our next edition of Young Muslim Voices) on the day of the event.
Parent’s Authorization (Please enter your name on the block below) *
I authorize my child [named below] to participate in EPC 2019, organized by The Mafiq Foundation. I agree to encourage my child to participate in this competition voluntarily. I give rights to The Mafiq Foundation to publish my child’s essay and/or poster if selected, in the next edition of Young Muslim Voices. I agree to NOT hold The Mafiq Foundation, its affiliates, board members, employees, volunteers, directors, agents, or members liable for negative experiences, issues, problems, mishaps, accidents, or injuries.
Your answer
Competitor's Information
Full Name (First name, MI, Last Name) *
Your answer
Address (Street, City, State, Zip);
Your answer
Contact Phone Number
Your answer
Competitor's Email Address
Your answer
Parent's Email Address *
Your answer
Name of Competitor's School, City, and State
Example: "Al-Rahmah School, Baltimore, MD".
Your answer
Current Grade in your regular Full Time School
Example: 6th, 7th etc.
Your answer
Level Competing *
The levels include: Level 1 (1st & 2nd grade), Level 2 (3rd & 4th grade), Level 3 (5th & 6th grade), Level 4 (7th & 8th grade), Level 5 (9th & 10th grade), and Level 6 (11th & 12th grade).
Categories Competing (Essay/Multimedia/Poster) *
Please select the categories in which you will be competing.
Pre-Registration details to be completed by parents/Legal Guardian (Choose from a list)
EPC Registration Fee (Early by 31-Dec-17): $20 + (add $5 for Poster and $5 for Multimedia, if any), (Pay by paypal or mail your check)
If you are a resident from outside Maryland, Virginia and Washington DC area and you intend to participate in nthe EPC contest then PLEASE tell us the option that you use for SPEECH Contest.
What do you intend to do about the speech contest?
EPC Workshops 2019
We do plan to schedule workshops in Maryland, DC, and Virginia to introduce the structure and rules of our annual Essay Panel Competition, this year's themes, and to teach the fundamentals of essay writing.

These on-demand workshops will only be available if at least 10 competitors pre-register for each session. Please pre-register as early as possible, and assist us with serving youth of our communities.

Particularly this year, one of the workshops will focus on the theme (faith Through Actions) and another one on the steps in laying down the foundation of an essay.

Register on line here: (

Authorizations and Signatures (Please provide your email and name below) *
Parent/guardian should enter name below. By signing, I certify that the information I submitted is accurate and truthful, and that I agree to the terms and conditions stated within this form. I understand that the essay, poster, and/or multimedia submissions become property of The Mafiq Foundation-- The Mafiq Foundation thereby retains full and exclusive right to publish, market, and sell this material.
Your answer
Thank you for registering for our EPC workshops. We look forward to receiving your submissions by January 10th, 2019, In shaa' Allah.
If you have any questions, comments, or concerns, feel free to contact us at or visit our website at

Jazakullahu khairun!

EPC Organizing Team
The Mafiq Foundation

A copy of your responses will be emailed to the address you provided.
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