Name:
Address:
City:
State:
Zip:
Phone:
E-Mail:
Age:
Do you wish
to remain anonymous to other researchers /
interested parties, or people outside of our
organization?
Yes
No
May
we release your contact information to qualified
paranormal researchers?
Yes
No
Date
of the sighting:
Time of Day
At what
location did this incident occur (City and Township
- These 2 are very important):
City
Township
,
What was the
closest Hwy., Road, Landmark, etc:
What
were you doing when the incident occured?
Name
of Other Witnesses?
Did
you report the sighting to other paranormal
researchers, police, or other authorities?
If "Yes", to whom?
Yes
No
Describe your incident
(use all the space you need - box expands to
fit) :
Physical attributes observed (height, hair
color, skin color,
size of hands, feet, gender of paranormal,
any other details):
Any
additional information you wish to share?
Can you draw
a sketch of the paranormal seen?If so, would you
be willing to send a copy to "The Ghost Man" for further analysis?
Yes
No
Were there
any photos taken of the paranormal? If so, would
you be willing to send a copy to "The Ghost Man" for further analysis?
Yes
No
Were any footprints, finger prints found,
or other physical evidence left by the
paranormal, if so please describe:
Yes
No
That you are aware of,
have there been any other incidences of this nature
prior to, or since
Are there any other
details that may or may not be associated with this?
Did the paranormal
make any sounds while being observed? If so can you
describe the sound(s):
Has there ever been
unknown sounds heard in the area where the incident
took place?
Screams, howls, whistles, moans, etc? If so please
describe.
Were there any odors
noticed during the time of the encounter?
How did you find out about
"The Ghost Man" If you selected "Other" please describe:
Internet
Newspaper
Radio
Television
Friend/Relative
Word of Mouth
Other
Do we have permission to
post this report on our website database?
Yes
No