Talent Request Form

Talent Request Form

First Come First Served
Personal Information
Name *

First Name Last Name
Contestant For *
Miss Northern Suburbs - open to all residents of Illinois; Miss Lake County - only open to residents of Lake, McHenry, Kane, Dupage and Cook Counties.
E-mail *
Phone Number *

- Area Code Phone Number
Talent Information
Type of Talent *

Vocal Instrumental Dance Monologue
Talent Song Request *
Talent Description
Microphone Selection *

Handheld Stand-alone Lavalier No microphone needed
Background Music Needed *

Yes No
Talent is timed at (seconds) *
BMI or ASCAP # for talent song
Go to ascap.com or bmi.com to look up song title.
Talent may not exceed 90 seconds.

Please note if there is a problem with your choice,
the Local Executive Director will contact you.

All songs must be BMI or ASCAP approved. Please contact Local Executive Director at missnorthernsuburbs@gmail.com with questions.
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