<p class="cf-meta-value"><strong>Name</strong><br>Matthew Davis</p><p class="cf-meta-value"><strong>Email Address</strong><br>mattdjr24@gmail.com</p><p class="cf-meta-value"><strong>Telephone</strong><br>2036327720</p><p class="cf-meta-value"><strong>Street address</strong><br>1269 Howard Ave </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>05/19/1979</p><p class="cf-meta-value"><strong>Ages of Children Involved in Court Case</strong><br>14 15</p><p class="cf-meta-value"><strong>Name of Court</strong><br>Waterbury </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>Lucinda Owens</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>Sylvia White</p><p class="cf-meta-value"><strong>Emergency Contact Telephone</strong><br>2023415948</p>