<p class="cf-meta-value"><strong>Name</strong><br>Julie Coulson</p><p class="cf-meta-value"><strong>Email Address</strong><br>julieninasnow@gmail.com</p><p class="cf-meta-value"><strong>Telephone</strong><br>3478341809</p><p class="cf-meta-value"><strong>Street address</strong><br>595 ROCK RIDGE RD</p><p class="cf-meta-value"><strong>City</strong><br>FAIRFIELD</p><p class="cf-meta-value"><strong>State</strong><br>Connecticut</p><p class="cf-meta-value"><strong>Zip</strong><br>06824</p><p class="cf-meta-value"><strong>Date of Birth</strong><br>january 21, 1987</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>State of Connecticut Superior Court</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>Derek Coulson</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>Andrew Snow</p><p class="cf-meta-value"><strong>Emergency Contact Telephone</strong><br>203-341-0408</p>