ParaNexus Registry of Anomalous Events - Submit a Parapsychology/Haunting Event

Version: 2.2

Parapsychological / Haunting Event

Report Submitted By...

No contact details in this section are made available to the public. All Items in RED are Required
First Name:
Last Name:
I Wish to Remain Anonymous:	Checking this box will prevent your name from appearing in the public report.

Email Address:
Telephone: Add Country Code outside US/Canada	Format: 00-123-456-7890

Witness Information

No witness contact details in this section including names are made available to the public.
Primary Witness First Name:
Primary Witness Last Name:
Street Address:
Apartment:
City:
State/Province:
Country:
Zip Code:
Telephone: Add Country Code outside US/Canada	Format: 00-123-456-7890
Email Address:
Gender:	Male Female
Age:	(Estimate if not known)
Total Number of Witnesses:
Additional Witness Names:
Did Witness have Missing Time?	Yes No Unknown (Enter number of Minutes if applicable)
Is Witness Psychically Sensitive?	Yes No Unknown

Event Description and Information

Investigation Data
Is this Report from an Investigation?	Yes No
Researcher or Group Name:
Researcher or Group Website:
# of Investigators Present:

Detailed Description of Event / Activity

Please describe the anomalous activity in vivid detail. Include as many facts and features as you can. The more complete your description, the better. Investigators should include whether EVP's were obtained, RSPK events, psychic impressions, and other documented data.

Do not put any personal information in the description that you do not want viewed by the public. You may use first names only for privacy (if applicable). No personal contact details above will appear in the public report.

Upload Files
Please upload only relevant files for your report.
Max Upload Size: 100 MB Acceptable File Types: gif, jpg, png, bmp, mpg, mp3, wmv, avi, wav, wma, pdf, zip, If you need to upload more than 5 files, please zip your files and upload them as one.

Submission Release

By submitting this report, I attest that it is factual and complete to the best of my knowledge and authorize ParaNexus to add it along with any uploaded media files to the database. I also agree to assume full responsibility for this report and the authorization to upload. I understand that personally identifiable contact information in this report will not be made available to the public without written permission from the witness(es). I understand that on occasion, a ParaNexus staff member or authorized Field Investigator may contact witnesses for further details should the need arise.

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Enter Verification Code Here:

Thank you for your interest in submitting an event / sighting report!

No personally identifiable information is made available to the public on this form with the exception of the submitter's name. However, you may choose to keep your name anonymous by checking the appropriate box. Witness names and contact details are never released to the public.

Once the form is completed and submitted, you will receive a confirmation via email and your report will be added to the database.

In some cases, a ParaNexus Staff member or authorized Field Investigator may contact you for further details, especially if the case seems to warrant further investigation.

Thank you for adding to the ParaNexus Registry of anomalous events!

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