<p class="cf-meta-value"><strong>Name</strong><br>Brock Squires</p><p class="cf-meta-value"><strong>Email Address</strong><br>Bsquires@wrtd.org</p><p class="cf-meta-value"><strong>Telephone</strong><br>8603779390</p><p class="cf-meta-value"><strong>Street address</strong><br>121 Gurleyville rd</p><p class="cf-meta-value"><strong>City</strong><br>Storrs</p><p class="cf-meta-value"><strong>State</strong><br>CT</p><p class="cf-meta-value"><strong>Zip</strong><br>06268</p><p class="cf-meta-value"><strong>Date of Birth</strong><br>2-17-84</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>11</p><p class="cf-meta-value"><strong>Name of Court</strong><br>Rockville Superior court</p><p class="cf-meta-value"><strong>Other Parent Name</strong><br>Julie French</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>Carol Elwell</p><p class="cf-meta-value"><strong>Emergency Contact Telephone</strong><br>860-933-0331</p>