Please enable JavaScript in your browser to complete this form.Name of Minor ApplicantName *Address *PhoneEmail (if applicable): *Gender *MaleFemaleAgeI agree to allow my child to participate in the WDGA-USA 3STEPS2WORK Dynamic Dozen program - June – December 2023.AgreeNOTE: The Graduation/Awards Dinner will be held in December-2023. Exact date and place TBA. THE ENTIRE PARTICIPATING FAMILY WILL GRADUATE!Parent Name *FirstLastSignature *Clear SignatureConfidentiality and Disclaimer of Liability:All information related to this application is held in strictest confidence and will be used for the express purpose of WDGA’s program(s) selection process. With respect to documents and processing, neither WDGA nor any of its employees, contractors or volunteers assumes any legal liability or responsibility for the accuracy, completeness, or usefulness of any information, or process disclosed, or represents that its use would not infringe privately owned rights.Submit