Queen City Youth Development 


Contact Us

Contact Information
If you are interested in becoming a part of the Queen City Youth Development family, please fill out all information completely and accurately.
First Name: *
Last Name: *
Parent's Name: *
Date of Birth: *
Grade: *
Address Street 1:
Address Street 2:
City:
Zip Code: (5 digits)
State:
Parent's Phone
*
Cell Phone: *
Email:
School:        
Height:
Weight:
Basketball Position:
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_______________________
OzieDavisIII@qcpdevelops.org
Founder & Board Chairmain

TimJohnson@qcpdevelops.org
Director

Queen City Youth Development
3550 Eden
Cincinnati, Ohio  45229
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