CPRI Help Request Form
By submitting this form you agree that:

- The Center for Paranormal Research and Investigation (CPRI) or its members is not liable for damages or injuries incurred at the location listed below while CPRI is conducting operations at said location.
- All information collected by CPRI will be held as confidential unless agreed to otherwise in writing by both CPRI and the form submitter.
- The form submitter is legally allowed to invite CPRI to the location listed below.
- CPRI will only be collecting information and data to determine the anomalous nature of reported activity. CPRI will not be performing religious rites or any other sort of "clearing" activity to rid a location of alleged paranormal activity.
First Name *
Your answer
Last Name *
Your answer
Phone Number *
Your answer
Street Address *
What is the street address where you may have experienced activity? (House Number, Street Name)
Your answer
City *
What is the city where you may have experienced activity?
Your answer
State *
What is the state where you may have experienced activity? (VA, NC, etc.)
Your answer
Email Address *
Your answer
Best Way To Contact You? *
Zip Code *
What is the zip code of the city where you may have experienced activity? (23219, 23229, etc.)
Your answer
What is the nature of the activity you experienced? *
Please check all that apply. You must check at least one.
Required
When did the experiences occur? *
Dates and times.
Your answer
Description of Events *
Be as descriptive as possible here. It will help us in the investigative process.
Your answer
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