CHILD CUSTODY AND VISITATION AGREEMENT
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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