<p class="cf-meta-value"><strong>Name</strong><br>Patricia Guzman</p><p class="cf-meta-value"><strong>Email Address</strong><br>patguzmass72@gmail.com</p><p class="cf-meta-value"><strong>Telephone</strong><br>203-635-3284</p><p class="cf-meta-value"><strong>Street Address</strong><br>31 Ward Street</p><p class="cf-meta-value"><strong>City</strong><br>Norwalk</p><p class="cf-meta-value"><strong>State</strong><br>CT</p><p class="cf-meta-value"><strong>Zip</strong><br>06851</p><p class="cf-meta-value"><strong>Date of Birth</strong><br>06/26/1978</p><p class="cf-meta-value"><strong>Ages of Children Involved in Court Case</strong><br>17</p><p class="cf-meta-value"><strong>Name of Court</strong><br>Superior Court of 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>Jose Marvin Cruz</p><p class="cf-meta-value"><strong>Do you wish to participate in the program with the other parent?</strong><br>Yes</p><p class="cf-meta-value"><strong>Does the participant speak English?</strong><br>No</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>Priscilla Irizarry</p><p class="cf-meta-value"><strong>Emergency Contact Telephone</strong><br>475-422-3401</p>