<p class="cf-meta-value"><strong>Name</strong><br>Matthew Ashmead</p><p class="cf-meta-value"><strong>Email Address</strong><br>Mattmarkanthony@gmail.com</p><p class="cf-meta-value"><strong>Telephone</strong><br>786-514-5092</p><p class="cf-meta-value"><strong>Street address</strong><br>8 Chandler Street</p><p class="cf-meta-value"><strong>City</strong><br>North Povidence</p><p class="cf-meta-value"><strong>State</strong><br>RI</p><p class="cf-meta-value"><strong>Zip</strong><br>02911</p><p class="cf-meta-value"><strong>Date of Birth</strong><br>02/24/1987</p><p class="cf-meta-value"><strong>Ages of Children Involved in Court Case</strong><br>2 and 4</p><p class="cf-meta-value"><strong>Court District Your Case Is In</strong><br>Windham</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>Julie Francis</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>Lauren Utschig</p><p class="cf-meta-value"><strong>Emergency Contact Telephone</strong><br>9145577282</p>