<p class="cf-meta-value"><strong>Name</strong><br>Ken Gustaitis</p><p class="cf-meta-value"><strong>Email Address</strong><br>kengustaitis@gmail.com</p><p class="cf-meta-value"><strong>Telephone</strong><br>2032171703</p><p class="cf-meta-value"><strong>Street address</strong><br>28 CHarter Ridge Dr</p><p class="cf-meta-value"><strong>City</strong><br>Sandy Hook</p><p class="cf-meta-value"><strong>State</strong><br>Connecticut</p><p class="cf-meta-value"><strong>Zip</strong><br>06482</p><p class="cf-meta-value"><strong>Date of Birth</strong><br>04/05/1975</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>13, 11, 9</p><p class="cf-meta-value"><strong>Name of Court</strong><br>Stamford</p><p class="cf-meta-value"><strong>Other Parent Name</strong><br>Crystal Gustaitis</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</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>Jason Wolter</p><p class="cf-meta-value"><strong>Emergency Contact Telephone</strong><br>6465300299</p>