<p class="cf-meta-value"><strong>Name</strong><br>sean farrell</p><p class="cf-meta-value"><strong>Email Address</strong><br>seanfarrell313@yahoo.com</p><p class="cf-meta-value"><strong>Telephone</strong><br>2035920923</p><p class="cf-meta-value"><strong>Street address</strong><br>41 bear paw rd </p><p class="cf-meta-value"><strong>City</strong><br>naugatuck </p><p class="cf-meta-value"><strong>State</strong><br>CT</p><p class="cf-meta-value"><strong>Zip</strong><br>06770</p><p class="cf-meta-value"><strong>Date of Birth</strong><br>12/10/1992</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>5</p><p class="cf-meta-value"><strong>Name of Court</strong><br>Waterbury Courthouse</p><p class="cf-meta-value"><strong>Other Parent Name</strong><br>Briana Dias </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>Yes, 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>mary farrell </p><p class="cf-meta-value"><strong>Emergency Contact Telephone</strong><br>203 927 3283</p>