<p class="cf-meta-value"><strong>Telephone</strong><br>8605147499</p><p class="cf-meta-value"><strong>Street address</strong><br>2009 N Greenbrier St</p><p class="cf-meta-value"><strong>City</strong><br>Arlington</p><p class="cf-meta-value"><strong>State</strong><br>VA</p><p class="cf-meta-value"><strong>Zip</strong><br>22205</p><p class="cf-meta-value"><strong>Date of Birth</strong><br>10/07/1996</p><p class="cf-meta-value"><strong>Ages of Children Involved in Court Case</strong><br>3, 5</p><p class="cf-meta-value"><strong>Name of Court</strong><br>Norwich</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>Christopher Allston Megill</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>Rhonda S Nibert</p><p class="cf-meta-value"><strong>Emergency Contact Telephone</strong><br>7039018905</p>