Divination Affidavit Form
Please fill out the following information to submit your affidavit.
Full Name
First Name
Last Name
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Email
example@example.com
Date of Divination
-
Month
-
Day
Year
Date
Divination Outcome Sought *briefly describe the condition which brought you to seek divination, please include divination method chosen.
Results of Divination *briefly describe what was accomplished
Signature
Was a communicating spirit identified?
Yes
No
Was the spirit entity known to you?
Yes
No
Was a pertinent message received?
Yes
No
Check one or more of the following types of evidence in the message concerning the communicating spirit's identity establishment:
Name
Description
Method of passing
Where lived
Character
Shared memories
Relationship
Personality
Knowledge of recent events
Age
Health condition
Any additional comments:
Who was your divinator:
Michelle
Delaney
Madison
Amanda
Continue
Continue
Should be Empty: