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   Child Custody and Visitation Agreement

    

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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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