top of page
Name
DOB
Phone
Email
Address
How did you hear about SAA?
Do you have any allergies?
Martinez
03/27/2001
323. 672. 0116
Cristofermartesp@gmail.com
3634 Walnut St Cudahy, CA 90201
Instagram
None
Xolalpa
12/13/1988
213. 425. 6807
jorgeemightyaphrodite.com
N/A
N/A
MA
Bertoldi
07/08/1994
954. 657. 3191
thamysb8@gmail.com
5816 Norwich Ave Sherman Oaks, CA 91411
N/A
Peanuts
Aranda
08/08/1990
310. 739. 0572
gamaararnda1990@gmail.com
961 W 43rd St #19 Los Angeles, CA
N/A
None
Aguilar
09/17/1989
323. 836. 1479
edith17r@icloud.com
4514 Franklin Avenue Apt 1 Los Angeles CA 90027
N/A
None
Page 1 of 3
Name
Headshot
Emergency Contact
EC Phone Number
EC Relationship
EC Address
Do you have any allergies?
Martinez
Veronica Martinez
323. 531. 6715
Mother
N/A
None
Xolalpa
Nicholos Ventra
805. 551. 9714
Friend
N/A
MA
Bertoldi
Susana Luiz
754. 214. 2739
Mother
N/A
Peanuts
Aranda
Luisa Quezada
310. 739. 8752
Mother
N/A
None
Page 1 of 4
bottom of page