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CHILD CUSTODY AND VISITATION AGREEMENT
Parents' Names: ___________________________________________________
Case Number: __________________________________________________________
State of ______________
County of ______________
This parenting plan will delineate where the child/children will reside for each day of the year, and how each parent fits into the custody agreement.
1. IDENTIFICATION:
1.1 For the purposes of this plan, {Name of Parent} will be known as "Parent A," and {Name of Parent} will be known as "Parent B."
1.2 The child/children to whom this plan applies:
|
Child's Name |
Date of Birth |
Current Age |
Gender |
2. WEEKDAY AND WEEKEND SCHEDULE:
"School age" is defined as the age at which a child/children begins kindergarten.
2.1 For any children under school age, the child/children will reside with {Parent A or B}, except for the following days and times, when the child/children will reside with the other parent:
|
Days |
Times |
2.2 For any child/children already enrolled in school, the child/children will reside with {Parent A or B}, except for the following days and times, when the child/children will reside with the other parent:
|
Days |
Times |
3. VACATION AND HOLIDAY SCHEDULE:
3.1 Summer vacation: When the school year is finished, the child/children will reside with {Parent A or B}, except for the following days and times, when the child/children will reside with the other parent:
|
Days |
Times |
3.2 Holiday Schedule:
Parents may choose to either follow the standard weekday and weekend schedule for all holidays and school breaks, or outline a detailed holiday schedule for these times.
(CHECK ONE)
_____ Parents agree to follow the standard weekday and weekend schedule for all holidays and school breaks.
_____ Parents agree to the following detailed holiday schedule for all holidays and school breaks:
(CIRCLE THE APPROPRIATE SELECTION)
|
HOLIDAY |
PARENT A |
PARENT B |
|
New Year's Day |
Every Year Odd Years Even Years Other: |
Every Year Odd Years Even Years Other: |
|
Martin Luther King Day |
Every Year Odd Years Even Years Other: |
Every Year Odd Years Even Years Other: |
|
Presidents Day |
Every Year Odd Years Even Years Other: |
Every Year Odd Years Even Years Other: |
|
Mother's Day |
Every Year Odd Years Even Years Other: |
Every Year Odd Years Even Years Other: |
|
Memorial Day |
Every Year Odd Years Even Years Other: |
Every Year Odd Years Even Years Other: |
|
Father's Day |
Every Year Odd Years Even Years Other: |
Every Year Odd Years Even Years Other: |
|
July 4th |
Every Year Odd Years Even Years Other: |
Every Year Odd Years Even Years Other: |
|
Labor Day |
Every Year Odd Years Even Years Other: |
Every Year Odd Years Even Years Other: |
|
Veterans Day |
Every Year Odd Years Even Years Other: |
Every Year Odd Years Even Years Other: |
|
Thanksgiving Day |
Every Year Odd Years Even Years Other: |
Every Year Odd Years Even Years Other: |
|
Christmas Eve |
Every Year Odd Years Even Years Other: |
Every Year Odd Years Even Years Other: |
|
Christmas Day |
Every Year Odd Years Even Years Other: |
Every Year Odd Years Even Years Other: |
|
New Year's Eve |
Every Year Odd Years Even Years Other: |
Every Year Odd Years Even Years Other: |
|
Children's Birthdays |
Every Year Odd Years Even Years Other: |
Every Year Odd Years Even Years Other: |
|
Important Family Dates Date 1: |
Every Year Odd Years Even Years Other: |
Every Year Odd Years Even Years Other: |
|
Date 2: |
Every Year Odd Years Even Years Other: |
Every Year Odd Years Even Years Other: |
|
Date 3: |
Every Year Odd Years Even Years Other: |
Every Year Odd Years Even Years Other: |
4. EXCHANGE
4.1 Parents will exchange the child/children on the agreed-upon dates, no earlier or later than {number} minutes before/after the scheduled time.
4.2 The exchange point will be as follows:
(CHECK ONE)
_____ Parent beginning his/her time with child/children will be responsible for picking up the child/children at an agreed upon location.
_____ Parent finishing his/her time with child/children will be responsible for dropping off the child/children at an agreed upon location.
4.3 Parent dropping off will ensure that the child/children has/have the appropriate clothing, medication and other necessities, including items that belong to the other parent.
5. OTHER DETAILS
5.1 Parents agree to amicably discuss any matters relating to the child/children. Parents also agree to review the successes and/or limitations of this parenting plan, in order to keep the situation as consistent and positive for the child/children as possible.
5.2 Parents agree to attempt to work out any disputes on their own.
6. SIGNATURES
"Parent A" "Parent B"
____________________________ ____________________________
Print Name Print Name
____________________________ ____________________________
Signature Signature
Date:
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