Name of Person
Area Select Area Santa Barbara Goleta Carpinteria
Street or General location
Zipcode
Time of Day you saw individual Select Time Morning Afternoon Evening
Gender Select Gender Male Female
Language Select Language English Spanish Other
Family Select Family Single Couple Family
Sleeping inside outside
Approximate Height: Ft. In.
Weight: lbs.
Age: yrs.
Hair Color:
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Ethnicity: Select Ethnicity Hispanic Caucasian Afro-American Native-American Asian Other
Description of Clothing:
Physical Markings:
Physical Challenges:
Additional Informaion:
I have had a conversation with this individual and would be available to make the initial introduction. yes no