Academy School Year 2023-2024 Enrollment Form

1. Academy General Information

The Words Beats & Life Academy is a pre-vocational after-school Hip-Hop program primarily for youth ages 8-22 in Washington, DC. We engage students interested in Hip-Hop culture by cultivating excitement for learning in our non-traditional classrooms. The Academy is focused on handing down the history, techniques, and traditions of Hip-Hop, advancing the pursuit of post-secondary education, nurturing and protecting a community of young artists, scholars, and entrepreneurs, producing premiere events featuring young Hip-Hop artists in Washington, D.C., and to celebrate what is new about Hip-Hop and the people that product it.

Once you submit this form you are enrolled in the Academy.

The 2023-2024 Words Beats & Life Academy will operate at St. Stephen and the Incarnation Episcopal Church located at 1525 Newton St. NW in Columbia Heights (Ward 1) as a series over three program blocks:

September 11, 2023- December 15, 2023

January 8, 2024- April 12, 2024

and April 22, 2024- June 14, 2024.

The program will run on Mondays and Tuesdays from 3:30 to 5:30 pm and Wednesdays to Fridays from 3:30 to 7 pm. Students attend each week for as many days as they like and take a range of art classes.

Mondays and Tuesdays (Elementary school programming at St. Stephens for grades 3rd-5th; Ages 8-11)

Wednesdays and Thursdays (Middle school, high school, and young adults programming at St. Stephens; Ages 12-22)

Fridays (open studio/makers day)

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1. Student Name (Required.)

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2. Student's email address, if applicable

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3. Contact Phone Number

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4. Date of Birth (Required.)

Date

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5. Is the student being enrolled 18 years of age or older? (Required.)

Yes

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6. Parent/Guardian Name' (Required.)

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7. Parent/Guardian Phone Number (Required.)

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8. Parent/Guardian Email (Required.)

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9. Mailing Address (Required.)

Street

City

State

Zipcode

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10. Ward of Residence (If a DC Resident)

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11. County of Residence for MD or VA (Write N/A if DC)

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12. School Attending/Attended (Including home schools) (Required.)

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13. What is your current grade for 2023-2024? (Required.)

3rd

4th

5th

6th

7th

8th

9th

10th

11th

12th

College

Trade School

Working

N/A

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14. If you are currently attending school, what is your current GPA

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15. Expected year of Graduation from High School or College/Trade School (Required.)

2024

2025

2026

2027

2028

2029

2030

N/A

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16. For DC Residents, do you have a DC One Card?

Yes

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17. Does your family qualify for any of these programs ? (Required.)

SNAP

Reduced Lunch

Free Lunch

TANF

None of the above

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18. What is your gender? (Required.)

Female

Male

Transgender

Non-Binary

Other (please specify)

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19. Race/Ethnic Identity (Required.)

African American

Asian American

Latino/a/x American

Native American

European American

Other (please specify)

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20. Shirt Size (Required.)

XSmall

Small

Medium

Large

XLarge

2XL

3XL

4XL

5XL

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21. How did you hear about the Academy?

Instagram

TikTok

Facebook

Columbia Heights Metro Ad

Television Ad

Attended a WBL Event

Family or Friend Recommendation

Other (please specify)

Academy School Year 2023-2024 Enrollment Form

1. Academy General Information

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* 1. Student Name (Required.)

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* 2. Student's email address, if applicable

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* 3. Contact Phone Number

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* 4. Date of Birth (Required.)

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* 5. Is the student being enrolled 18 years of age or older? (Required.)

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* 6. Parent/Guardian Name' (Required.)

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* 7. Parent/Guardian Phone Number (Required.)

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* 8. Parent/Guardian Email (Required.)

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* 9. Mailing Address (Required.)

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* 10. Ward of Residence (If a DC Resident)

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* 11. County of Residence for MD or VA (Write N/A if DC)

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* 12. School Attending/Attended (Including home schools) (Required.)

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* 13. What is your current grade for 2023-2024? (Required.)

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* 14. If you are currently attending school, what is your current GPA

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* 15. Expected year of Graduation from High School or College/Trade School (Required.)

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* 16. For DC Residents, do you have a DC One Card?

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* 17. Does your family qualify for any of these programs ? (Required.)

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* 18. What is your gender? (Required.)

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* 19. Race/Ethnic Identity (Required.)

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* 20. Shirt Size (Required.)

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* 21. How did you hear about the Academy?

1. Student Name (Required.)

2. Student's email address, if applicable

3. Contact Phone Number

4. Date of Birth (Required.)

5. Is the student being enrolled 18 years of age or older? (Required.)

6. Parent/Guardian Name' (Required.)

7. Parent/Guardian Phone Number (Required.)

8. Parent/Guardian Email (Required.)

9. Mailing Address (Required.)

10. Ward of Residence (If a DC Resident)

11. County of Residence for MD or VA (Write N/A if DC)

12. School Attending/Attended (Including home schools) (Required.)

13. What is your current grade for 2023-2024? (Required.)

14. If you are currently attending school, what is your current GPA

15. Expected year of Graduation from High School or College/Trade School (Required.)

16. For DC Residents, do you have a DC One Card?

17. Does your family qualify for any of these programs ? (Required.)

18. What is your gender? (Required.)

19. Race/Ethnic Identity (Required.)

20. Shirt Size (Required.)

21. How did you hear about the Academy?