<p class="cf-meta-value"><strong>Name</strong><br>Kristen Dombkowski</p><p class="cf-meta-value"><strong>Email Address</strong><br>kristenrn@ymail.com</p><p class="cf-meta-value"><strong>Telephone</strong><br>8608530986</p><p class="cf-meta-value"><strong>Street address</strong><br>138 hartland rd</p><p class="cf-meta-value"><strong>City</strong><br>West Granby</p><p class="cf-meta-value"><strong>State</strong><br>CT</p><p class="cf-meta-value"><strong>Zip</strong><br>06090</p><p class="cf-meta-value"><strong>Date of Birth</strong><br>08/05/1986</p><p class="cf-meta-value"><strong>Appointment Reminders</strong><br>Text</p><p class="cf-meta-value"><strong>Ages of Children Involved in Court Case</strong><br>10, 10, 11</p><p class="cf-meta-value"><strong>Name of Court</strong><br>Hartford Superior Court</p><p class="cf-meta-value"><strong>Other Parent Name</strong><br>Derek Dombkowski</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>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>Rainer Blanchette</p><p class="cf-meta-value"><strong>Emergency Contact Telephone</strong><br>860-878-1890</p>