<p class="cf-meta-value"><strong>Name</strong><br>Robin Fukuyama</p><p class="cf-meta-value"><strong>Email Address</strong><br>robin.fukuyama@gmail.com</p><p class="cf-meta-value"><strong>Telephone</strong><br>7187445764</p><p class="cf-meta-value"><strong>Street address</strong><br>6 Pleszko Pl</p><p class="cf-meta-value"><strong>City</strong><br>Fairfield</p><p class="cf-meta-value"><strong>State</strong><br>CT</p><p class="cf-meta-value"><strong>Zip</strong><br>06824</p><p class="cf-meta-value"><strong>Date of Birth</strong><br>04/09/1974</p><p class="cf-meta-value"><strong>Appointment Reminders</strong><br>Email</p><p class="cf-meta-value"><strong>Ages of Children Involved in Court Case</strong><br>12, 16</p><p class="cf-meta-value"><strong>Name of Court</strong><br>not sure - docket number pending; doing mediation</p><p class="cf-meta-value"><strong>Other Parent Name</strong><br>Karen Kucinski</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>Deborah Gudz</p><p class="cf-meta-value"><strong>Emergency Contact Telephone</strong><br>2037336338</p>