<p class="cf-meta-value"><strong>Name</strong><br>Amanda Parks</p><p class="cf-meta-value"><strong>Email Address</strong><br>caligrlnks@yahoo.com</p><p class="cf-meta-value"><strong>Telephone</strong><br>949-929-2641</p><p class="cf-meta-value"><strong>Street address</strong><br>27 Mullen Hill Road</p><p class="cf-meta-value"><strong>City</strong><br>Waterford</p><p class="cf-meta-value"><strong>State</strong><br>CT</p><p class="cf-meta-value"><strong>Zip</strong><br>06385</p><p class="cf-meta-value"><strong>Date of Birth</strong><br>10-06-1983</p><p class="cf-meta-value"><strong>Ages of Children Involved in Court Case</strong><br>6,4,1</p><p class="cf-meta-value"><strong>Court District Your Case Is In</strong><br>New London</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>Timothy Parks</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>Tim Parks</p><p class="cf-meta-value"><strong>Emergency Contact Telephone</strong><br>951-349-5451</p>