<p class="cf-meta-value"><strong>Name</strong><br>Kelsie Ross</p><p class="cf-meta-value"><strong>Email Address</strong><br>kelsieross2@aol.com</p><p class="cf-meta-value"><strong>Telephone</strong><br>8054059948</p><p class="cf-meta-value"><strong>Street address</strong><br>39 Acre Lane</p><p class="cf-meta-value"><strong>City</strong><br>Ridgefield</p><p class="cf-meta-value"><strong>State</strong><br>CT</p><p class="cf-meta-value"><strong>Zip</strong><br>06877</p><p class="cf-meta-value"><strong>Date of Birth</strong><br>03/02/1989</p><p class="cf-meta-value"><strong>Appointment Reminders</strong><br>Text</p><p class="cf-meta-value"><strong>Ages of Children Involved in Court Case</strong><br>6 and 3</p><p class="cf-meta-value"><strong>Name of Court</strong><br>Stamford</p><p class="cf-meta-value"><strong>Other Parent Name</strong><br>John Raffaeli</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>Yes</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>Susan Ross</p><p class="cf-meta-value"><strong>Emergency Contact Telephone</strong><br>805-559-2221</p>