<p class="cf-meta-value"><strong>Telephone</strong><br>4754224931</p><p class="cf-meta-value"><strong>Street Address</strong><br>148 St Stephens Rd</p><p class="cf-meta-value"><strong>City</strong><br>Bridgeport</p><p class="cf-meta-value"><strong>State</strong><br>Ct</p><p class="cf-meta-value"><strong>Zip</strong><br>06605</p><p class="cf-meta-value"><strong>Date of Birth</strong><br>01/25/1997</p><p class="cf-meta-value"><strong>Ages of Children Involved in Court Case</strong><br>1yr & 6mo</p><p class="cf-meta-value"><strong>Name of Court</strong><br>Superior Court of Bridegport</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>Xavier Reaves</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>Melissa Van Norden</p><p class="cf-meta-value"><strong>Emergency Contact Telephone</strong><br>2035268616</p>