<p class="cf-meta-value"><strong>Name</strong><br>Elizabeth Slemmer</p><p class="cf-meta-value"><strong>Email Address</strong><br>bethslemmer@gmail.com</p><p class="cf-meta-value"><strong>Telephone</strong><br>(860) 287-4923</p><p class="cf-meta-value"><strong>Street address</strong><br>133 Folly Brook Boulevard, Apt 4</p><p class="cf-meta-value"><strong>City</strong><br>Wethersfield</p><p class="cf-meta-value"><strong>State</strong><br>CT</p><p class="cf-meta-value"><strong>Zip</strong><br>06109</p><p class="cf-meta-value"><strong>Date of Birth</strong><br>5/22/1976</p><p class="cf-meta-value"><strong>Ages of Children Involved in Court Case</strong><br>14/13</p><p class="cf-meta-value"><strong>Name of Court</strong><br>Hartford</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>Jason Slemmer</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>Priscilla Gichiengo</p><p class="cf-meta-value"><strong>Emergency Contact Telephone</strong><br>413-441-0706</p>