Name

Address

Address (cont)

City

State

Zip/Postal

Country

Phone

Email

Website (URL)

May we release your contact information  to qualified WBS researchers?
 Yes No

May we publish your sighting in the  Track Record at our discretion (with your name and general  location and without your phone number and address)?
 Yes No

Date of the sighting

Time of Day

Where did the sighting occur (geographic  location, type of terrain)?

What were you doing when the sighting  occured?

Names of other witnesses

Did you report the sighting to other bigfoot researchers, police, or other  authorities?
 Yes   No
If "Yes", to whom?

Describe your sighting (use all the space you need - box expands to fit)

Physical attributes observed (height, weight, hair color, skin color, eye
color, size of hands, feet, gender, smell, sounds, any other  details)