Date when you witnessed the formation.

Time when you witnessed the formation.

Time zone.

City of crop formation.

State of crop formation.

Describe the crop formation.

On what type of surface was the formation made?

Wheat Barley Soybean Linseed Oilseed Rape Corn Grass Ice Snow Rock Dirt Sand Other

If other, please describe.

Did you notice anything unusual that seemed related to the crop formation?

Yes No   If yes, please explain.

Did you experience any of the following physical / psychological effects that you may attribute to the event?

None Pain Tingling Headache Migraine Fatigue Nausea Breathing difficulty Vibrations Nervousness Stillness Paralysis Other

Any other details about the crop formation that you would like to report.

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First Name Last Name

Can we contact you for more information?Yes No

If Yes, please list a phone number, mailing address or email.  This is confidential!

May we give a brief overview of this sighting to be placed on the Shadow Research website.  No personal information will be given, just sighting info.  Yes.  No

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Thank you for your time and information! 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: reports@shadowresearch.com