Crop Circle Online Reporting Form

Name (First and Last)

Mailing Address    

City        State  Zip

Phone (Optional)

Email Address

Date of sighting

Did you enter the formation? Yes No       Did you take a picture or video? Yes  No

Did you take samples from the formation? Yes  No       

What type of surface was the formation made on? Wheat Barley Soybean Linseed Oilseed Rape Corn Grass Ice Snow Rock Dirt Sand Other

Did you experiance any type of phsical or psychological effect in association with the formation?  Yes No

If yes, please explain

Did you find anything in the formation?  If you did explain.

 Describe the crop formation and how you found it in as much detail as you like.

Rain Sleet Snow Fog Clear Cloudy Partly Cloudy Weather Conditions    Lake Pond Field Mountians Hill Area Wooded River Desert Area Terrain

Other information you wish to add.

If you would like to remain anonymous please check here.   

Can we use your information for a database study.    Yes    No   

Can we contact you for further information?    Yes    No

Thank You for your information and time!

If you have questions concerning the filling out or the use of the information that is submitted via this form please contact Shadow Research at: admin@shadowresearch.com