<p class="cf-meta-value"><strong>Name</strong><br>Krisztian Kincses</p><p class="cf-meta-value"><strong>Email Address</strong><br>kkincses513@gmail.com</p><p class="cf-meta-value"><strong>Telephone</strong><br>+36305578376</p><p class="cf-meta-value"><strong>Street Address</strong><br>17 Seibert Drive</p><p class="cf-meta-value"><strong>City</strong><br>Terryville</p><p class="cf-meta-value"><strong>State</strong><br>Connecticut</p><p class="cf-meta-value"><strong>Zip</strong><br>06786</p><p class="cf-meta-value"><strong>Date of Birth</strong><br>5/13/1984</p><p class="cf-meta-value"><strong>Ages of Children Involved in Court Case</strong><br>7 and 10</p><p class="cf-meta-value"><strong>Name of Court</strong><br>New Britain Court</p><p class="cf-meta-value"><strong>Do you have a fee waiver?</strong><br>Yes</p><p class="cf-meta-value"><strong>Other Parent Name</strong><br>Bridget Kincses</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>Kodolányi Ágota </p><p class="cf-meta-value"><strong>Emergency Contact Telephone</strong><br>+36203308433</p>