<p class="cf-meta-value"><strong>Name</strong><br>Hua Chen</p><p class="cf-meta-value"><strong>Email Address</strong><br>huachenxb@haoo.com</p><p class="cf-meta-value"><strong>Telephone</strong><br>6466519817</p><p class="cf-meta-value"><strong>Street Address</strong><br>100 Kimberly Place </p><p class="cf-meta-value"><strong>City</strong><br>New Canaan</p><p class="cf-meta-value"><strong>Zip</strong><br>06840</p><p class="cf-meta-value"><strong>Date of Birth</strong><br>07/16/1969</p><p class="cf-meta-value"><strong>Ages of Children Involved in Court Case</strong><br>13, 17</p><p class="cf-meta-value"><strong>Name of Court</strong><br>Stamford Superior Court </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>Daniel Jonathan Ross </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>Chong Guan </p><p class="cf-meta-value"><strong>Emergency Contact Telephone</strong><br>917-612-8772</p>