<p class="cf-meta-value"><strong>Name</strong><br>Lindsay Schumann</p><p class="cf-meta-value"><strong>Email Address</strong><br>lindsay.schumann@gmail.com</p><p class="cf-meta-value"><strong>Telephone</strong><br>860-874-3966</p><p class="cf-meta-value"><strong>Street address</strong><br>3 Grandview Drive</p><p class="cf-meta-value"><strong>City</strong><br>Newington</p><p class="cf-meta-value"><strong>State</strong><br>CT</p><p class="cf-meta-value"><strong>Zip</strong><br>06111</p><p class="cf-meta-value"><strong>Date of Birth</strong><br>01/29/1985</p><p class="cf-meta-value"><strong>Ages of Children Involved in Court Case</strong><br>5 and 3</p><p class="cf-meta-value"><strong>Name of Court</strong><br>CT Mediation Center</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>Michael Gribauskas</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>Is there any history of violence or abuse within the family?</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>Jeff Schumann</p><p class="cf-meta-value"><strong>Emergency Contact Telephone</strong><br>860-471-1023</p>