<p class="cf-meta-value"><strong>Name</strong><br>Tom Dodwell</p><p class="cf-meta-value"><strong>Email Address</strong><br>tdodwell@gmail.com</p><p class="cf-meta-value"><strong>Telephone</strong><br>551-579-2176</p><p class="cf-meta-value"><strong>Street Address</strong><br>18a Hillandale Road</p><p class="cf-meta-value"><strong>City</strong><br>Westport </p><p class="cf-meta-value"><strong>State</strong><br>CT</p><p class="cf-meta-value"><strong>Zip</strong><br>06880</p><p class="cf-meta-value"><strong>Date of Birth</strong><br>05/0/1977</p><p class="cf-meta-value"><strong>Ages of Children Involved in Court Case</strong><br>8 and 5</p><p class="cf-meta-value"><strong>Name of Court</strong><br>Stamford </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>Lorraine Sperling</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>Taly Reich</p><p class="cf-meta-value"><strong>Emergency Contact Telephone</strong><br>3238292327</p>