<p class="cf-meta-value"><strong>Name</strong><br>Milissa</p><p class="cf-meta-value"><strong>Email Address</strong><br>Milissawadas@gmail.com</p><p class="cf-meta-value"><strong>Telephone</strong><br>2034600287</p><p class="cf-meta-value"><strong>Street address</strong><br>128 Benjamin Dr.</p><p class="cf-meta-value"><strong>City</strong><br>Oxford</p><p class="cf-meta-value"><strong>State</strong><br>CT</p><p class="cf-meta-value"><strong>Zip</strong><br>06478</p><p class="cf-meta-value"><strong>Date of Birth</strong><br>08/12/1988</p><p class="cf-meta-value"><strong>Ages of Children Involved in Court Case</strong><br>4/8</p><p class="cf-meta-value"><strong>Court District Your Case Is In</strong><br>New Haven </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>Keenan DeLand </p><p class="cf-meta-value"><strong>Do you wish to participate in the program with the other parent?</strong><br>Yes</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>Debra Battaglia</p><p class="cf-meta-value"><strong>Emergency Contact Telephone</strong><br>9173400820</p>