<p class="cf-meta-value"><strong>Telephone</strong><br>203-522-2150</p><p class="cf-meta-value"><strong>Street Address</strong><br>80 Trelane drive </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>06606</p><p class="cf-meta-value"><strong>Date of Birth</strong><br>03081986</p><p class="cf-meta-value"><strong>Ages of Children Involved in Court Case</strong><br>9 and 6</p><p class="cf-meta-value"><strong>Name of Court</strong><br>Bridgeport </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>Alexis Lee</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>Gifford Lee</p><p class="cf-meta-value"><strong>Emergency Contact Telephone</strong><br>2033678408</p>