Queen City Prophets

Please take a moment to complete the online application form, or print the application and return it to Queen City Prophets Youth Development Program - 3550 Eden Avenue Cincinnati, OH 45229. Once a completed application has been submitted, someone from our offices will contact you directly. Click HERE to print the application (must have Adobe Acrobat Reader).

General Information
First Name		Middle Initial
Last Name		Grade
Date of Birth

Address
City		State
Zip Code		Email Address
Home Phone Number

Parent's Name		Parent's Phone Number
School		Main Office Phone
School Address
Coach's Name		Gym Office Phone
Counselor's Name		Counselor's Office Phone

Players Athletic Ability
Height		Weight
Vertical Jump		Basketball Positions
Pts/Game		Blocked Shots/Game
Assists/Game		Rebounds/Game
3-Pt%		FT%

GPA		ACT
SAT (Math)		SAT (Verbal)

Other Sports
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Gym Shoe Size

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