<p class="cf-meta-value"><strong>Name</strong><br>Kristin </p><p class="cf-meta-value"><strong>Email Address</strong><br>kristinclink87@gmail.com</p><p class="cf-meta-value"><strong>Telephone</strong><br>4757753021</p><p class="cf-meta-value"><strong>Street Address</strong><br>180 Lockwood Ave</p><p class="cf-meta-value"><strong>City</strong><br>Stamford</p><p class="cf-meta-value"><strong>State</strong><br>Ct</p><p class="cf-meta-value"><strong>Zip</strong><br>06902</p><p class="cf-meta-value"><strong>Date of Birth</strong><br>10/11/1987</p><p class="cf-meta-value"><strong>Ages of Children Involved in Court Case</strong><br>1</p><p class="cf-meta-value"><strong>Name of Court</strong><br>Bridgeport </p><p class="cf-meta-value"><strong>Do you have a fee waiver?</strong><br>No</p><p class="cf-meta-value"><strong>Other Parent Name</strong><br>Jacob raitt</p><p class="cf-meta-value"><strong>Do you wish to participate in the program with the other parent?</strong><br>No</p><p class="cf-meta-value"><strong>Does the participant speak English?</strong><br>Yes</p><p class="cf-meta-value"><strong>Is the participant hearing impaired?</strong><br>No</p><p class="cf-meta-value"><strong>Emergency Contact Name</strong><br>Dorry</p><p class="cf-meta-value"><strong>Emergency Contact Telephone</strong><br>2033559593</p>