<p class="cf-meta-value"><strong>Name</strong><br>Patrick Hoffman</p><p class="cf-meta-value"><strong>Email Address</strong><br>patrickhoffman3530@gmail.com</p><p class="cf-meta-value"><strong>Telephone</strong><br>9147726567</p><p class="cf-meta-value"><strong>Street address</strong><br>17 Ferris Avenue, Apartment #11</p><p class="cf-meta-value"><strong>City</strong><br>Norwalk</p><p class="cf-meta-value"><strong>State</strong><br>Connecticut</p><p class="cf-meta-value"><strong>Zip</strong><br>06854</p><p class="cf-meta-value"><strong>Date of Birth</strong><br>March 31, 1983</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>7,9</p><p class="cf-meta-value"><strong>Name of Court</strong><br>Patrick Hoffman</p><p class="cf-meta-value"><strong>Other Parent Name</strong><br>Patrick Hoffman</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>Tara Hoffman</p><p class="cf-meta-value"><strong>Emergency Contact Telephone</strong><br>203606766</p>