01 Household Information
| Candidate Name | Jaden Beltran |
|---|---|
| Address | 2466 E Tahquitz Canyon Way Apt#124 Palm Springs, 92262 |
| riveraelsie81@gmail.com | |
| Phone | (760) 905-8275 |
| Type of Phone Number | Cell/Mobile |
| Gender | Male |
| Parent/Guardian #1 Name | Elsie Rivera |
| Address | 2466 E Tahquitz Canyon Way Apt#124 2466 E Tahquitz Canyon way Apt #124 Palm Springs, 92262 |
| riveraelsie81@gmail.com | |
| Phone | (760) 905-8275 |
| Phone Number Type | Cell/Mobile |
| Relationship | Mother |
| Parent/Guardian/Responsible Adult #2 Name | John Rivera |
| Same address as above? | Same Address as above? |
| Address | 2466 E Tahquitz Canyon Way Apt#124 2466 E Tahquitz Canyon way Apt #124 Palm Springs, CA 92262 |
| riveraelsie81@gmail.com | |
| Phone | (760) 699-1652 |
| Phone Number Type | Cell/Mobile |
| Relationship | Uncle |
| Emergency Contact Name | Elsie Rivera |
| Same address as above? | Same Address as above? |
| Address | 2466 E Tahquitz Canyon Way Apt#124 2466 E Tahquitz Canyon way Apt #124 Palm Springs, CA 92262 |
| riveraelsie81@gmail.com | |
| Phone | (760) 905-8275 |
| Phone Number Type | Cell/Mobile |
| Relationship | Mother |