Hancock County’s Got Talent

There will be a rehearsal before the competition. Everyone will be notified of the date when it
has been set. Mail completed entry forms to Tammy Lucie, at 1441 E.C.R. 900, Basco, IL 62313 by July
10th or fill out the form and submit payment online.  Entries submitted without payment will not be accepted.

For questions or more information contact Tammy Lucie at 217-440-7616 or email at
tlucie74@gmail.com.

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1 Step 1
Nameyour full name
Name of Individualof person entering
Ageof individual entering
Primary ContactYour name/caregiver/agent/lead
Addressaddress line 1
Address 2address line 2
Cityprimary residence
Stateprimary residence
Zip/Postalprimary residence
Cellphonei.e. (217)555-1212
Name/AgesName and ages of your group
0 /
Type of ActWhat will you be doing for the talent show?
Name of SelectionYour selection
Special Stage Needsin order to make your act work, what accommodations do you need?
0 /
EntrantsFor each additional entrant over 5 add 1
EntrantsNumberTotal
Entrants[field22][field22 * 5]
$10 Entry Fee110
Annual Charge $xxx
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