Etting was born in David City, Nebraska in 1897 to Alfred, a banker, and Winifred (nee Kleinhan) Etting. Her mother died when she was five years old and she then went to live with her paternal grandparents, George and Hannah Etting. Her father remarried and moved away from David City and was no longer a part of his daughter's life. Etting's grandfather, George, owned the Etting Roller Mills; to the delight of his granddaughter, George Etting allowed traveling circuses and shows to use the lot behind the mills for performances.  Etting was interested in drawing at an early age; she drew and sketched anywhere she was able. Her grandparents were asked to buy the textbooks she had used at the end of a school term because Etting had filled them with her drawings. She left David City at the age of sixteen to attend art school in Chicago. Etting got a job designing costumes at the Marigold Gardens nightclub, which led to employment singing and dancing in the chorus there. She gave up art school soon after going to work at Marigold Gardens. Before turning exclusively to performing, Etting worked as a designer for the owner of a costume shop in Chicago's Loop; she was successful enough to earn a partnership in the shop through her work.  While she enjoyed singing at school and in church, Etting never took voice lessons. She said that she had patterned her song styling after Marion Harris, but created her own unique style by alternating tempos and by varying some notes and phrases. Describing herself as a "high, squeaky soprano" during her days in David City, Etting developed a lower range singing voice after her arrival in Chicago which led to her success. Her big moment came when a featured vocalist suddenly became ill and was unable to perform. With no other replacement available, Etting was asked to fill in. She quickly changed into the costume and scanned the music arrangements; the performer was male, so Etting tried to adjust by singing in a lower register. She became a featured vocalist at the nightclub.  Etting described herself as a young, naive girl when she arrived in Chicago. Due to her inexperience in the ways of the big city, she became reliant on Snyder after their meeting. Etting and Snyder met in 1922, when she was performing at the Marigold Gardens. Snyder, who divorced his first wife to marry Etting, was well-acquainted with Chicago's nightclubs and the entertainers who worked in them; he once served as a bodyguard to Al Jolson. Snyder also used his political connections to get bookings for Etting, who was called "Miss City Hall" because of Snyder's influence in Chicago. Etting married gangster Martin "Moe the Gimp" Snyder on July 17, 1922 in Crown Point, Indiana. She later said she married him "nine-tenths out of fear and one-tenth out of pity." Etting later told her friends, "If I leave him, he'll kill me." He managed her career, booking radio appearances and eventually had her signed to an exclusive recording contract with Columbia Records.

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