<p class="cf-meta-value"><strong>Name</strong><br>Rachel Constas</p><p class="cf-meta-value"><strong>Email Address</strong><br>rachelkatrin@yahoo.com</p><p class="cf-meta-value"><strong>Telephone</strong><br>12032493931</p><p class="cf-meta-value"><strong>Street address</strong><br>41 Ridgeley Street</p><p class="cf-meta-value"><strong>City</strong><br>DARIEN</p><p class="cf-meta-value"><strong>State</strong><br>CT</p><p class="cf-meta-value"><strong>Zip</strong><br>06820</p><p class="cf-meta-value"><strong>Date of Birth</strong><br>04251979</p><p class="cf-meta-value"><strong>Ages of Children Involved in Court Case</strong><br>12, 14</p><p class="cf-meta-value"><strong>Name of Court</strong><br>Stamford</p><p class="cf-meta-value"><strong>Do you have a fee waiver?</strong><br>No, Yes</p><p class="cf-meta-value"><strong>Other Parent Name</strong><br>Michael Constas</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>Lori Costello</p><p class="cf-meta-value"><strong>Emergency Contact Telephone</strong><br>2038582576</p>