<p class="cf-meta-value"><strong>Telephone</strong><br>4752669737</p><p class="cf-meta-value"><strong>Street Address</strong><br>186 lakeview ave apt N214</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>10/22/90</p><p class="cf-meta-value"><strong>Ages of Children Involved in Court Case</strong><br>6</p><p class="cf-meta-value"><strong>Name of Court</strong><br>Canas vs anderson</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>Bryant canas</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>Oshea sadler</p><p class="cf-meta-value"><strong>Emergency Contact Telephone</strong><br>4757552091</p>