Summer 2023 Academy Enrollment Form

1. Academy General Information

The Words Beats & Life Academy is a pre-vocational after-school Hip-Hop program primarily for youth ages 12-22 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 a 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.

Important Summer Session Information:

The summer session will begin Monday, June 26th and will end with the Student Showcase on August 4th.

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1. Student Name (Required.)

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2. Student's email address, if applicable

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3. Student's phone number if applicable

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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. Current Grade Level (Required.)

6th

7th

8th

9th

10th

11th

12th

College

Trade School

Working

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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.)

2021

2022

2023

2024

2025

2026

2027

2028

2029

2030

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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. How did you hear about the WBL Academy? (Required.)

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21. Shirt Size (Required.)

XSmall

Small

Medium

Large

XLarge

XXLarge

Summer 2023 Academy Enrollment Form

1. Academy General Information

Question Title

* 1. Student Name (Required.)

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* 2. Student's email address, if applicable

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* 3. Student's phone number if applicable

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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. Current Grade Level (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. How did you hear about the WBL Academy? (Required.)

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* 21. Shirt Size (Required.)

1. Student Name (Required.)

2. Student's email address, if applicable

3. Student's phone number if applicable

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. Current Grade Level (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. How did you hear about the WBL Academy? (Required.)

21. Shirt Size (Required.)