We, _________________, (mother), and __________________, (father), as fit
and loving parents have reached agreement on a parenting plan for our
daughter/son/child(ren), born ______________________.
We have developed this parenting agreement in good faith and in the best interests of our
We agree that _________________, (mother) shall be the primary residential
parent for our daughter/son/child(ren). We agree to joint legal custody of
All major decisions affecting her/his/their growth,
health, education, welfare, and development shall be made jointly by us. If
emergency medical treatment shall be required, the parent having care of
the child(ren) at the time may arrange for treatment but shall notify the
other parent as soon as possible.
We agree to consult with one another on all important school issues and
events such as parent-teacher conferences and to jointly decide on changes
of school curriculum, enrollment in extracurricular activities and her
attendance or participation in special school events.
We agree that during the school year, which shall run from early September
to the middle of June, ___________________ ______________ will visit
her/his/their father every other week from ___________ until
During the alternate weeks, in between, ________________
will visit with her/his/their father from Friday afternoon (after school)
through Sunday at 6:00 P.M.
Summer Vacation -(cite schedule)
Winter School Break- _________________- will share Christmas Day with both
parents. The parent that has her/him/them on Christmas Eve will have
her/him/them overnight through approximately noon on Christmas Day. In even
numbered years, mother will have the child(ren) on Christmas Eve, and the
father will have her/him/them in odd numbered years.
The remainder of _______________'s Winter school break, including one
weekend, will be spent with the father. Father agrees to take sufficient
leave from his place of employment so that he and his child(ren) may spend
the Winter school break together.
If the father cannot take leave, our regular weekday and weekend schedule
Spring School Break- In odd numbered years, we agree that
__________________ will spend the entire break including one weekend with
father and that in even numbered years s/he/they will spend the break with
her/his/their mother. If either parent plans to be out-of-area with the
child(ren), that parent will have both weekends (surrounding Easter break)
Thanksgiving Break- In odd numbered years, we agree that _________________
will spend Thanksgiving Day, the following day and the weekend with mother,
and in even numbered years, s/he/they will spend the four consecutive days
Federal Holidays- Federal holidays that are celebrated on a Monday or a
Friday shall be (negotiated by us on a case by basis) (added to our
respective weekend visitation schedules).
Special Days- Mother's Day-child(ren) with mother
Father's Day-child(ren) with father
Mother's Birthday-child(ren) with mother
Father's Birthday-child(ren) with father
Child(ren)'s Birthday-we agree to share this day equally.
We agree to be flexible with our school year and summer visitation schedule
and that changes/ revisions to the schedule will be by mutual consent and
with a minimum of thirty (30) days advance written notice.
Regardless of which
parent our child(ren) are scheduled to visit during her/his/their
vacations, we agree to adjust our respective plans to accommodate any
activities our child(ren) are involved in.
We agree to modify/rearrange our respective visitation schedules for visits
by out-of-area relatives including grandparents, aunts, uncles, and
Responsibility for day-to-day parenting decisions will rest with the parent
with whom the child is then residing, including vacation and holiday
parenting. Examples of parental day-to-day decisions include treatment of
minor health problems and injuries, diet, television, house rules and
discipline, bedtime, etc.
Mother and Father will ensure that
_____________________ school books, book bag, lunch and sports equipment
will be given to her/him/them when she/he/they visit the other parent.
On all other significant matters involving the child(ren), we agree to
consult with each other always taking account of the child(ren)'s best
We agree that if one of us is unable to take care of our child(ren), we
shall notify the other parent so that parent has the option of providing
for the personal care of our child(ren) rather than a third party.
We agree to notify each other of any out-area trips with the child(ren)
including destination and duration of the visit.
Our child(ren) will be reminded by the parent s/he/they is/are with to
telephone the absent parent to that continuous parent-child contact can be
maintained throughout the week.
We agree to provide each other with residential and work numbers and to notify one another immediately if these number are changed.
We agree that both parents shall have the right to complete information
from any physician, dentist, consultant or specialist attending to the
child(ren)'s physical or mental needs for any reaons whatsoever, and to
copies of any reports given to the other parent by such persons.
We agree that neither party shall obstruct the development and maintenance
of love and affection between the child(ren) and the other party. Neither
will interfere with reasonable and proper companionship with the other
party, including reasonable communication by telephone or writing. Neither
will do or say anything that may estrange the child(ren) from the other
This parenting plan was developed by us in further
ance of our child(ren)'s
Major Dispute/Changes in Circumstances
In the event of a major dispute or change in circumstances regarding the
terms of this parenting plan, we agree to return to mediation in an attempt
to modify the plan either through a court appointed mediator or a private
mediator of our own choosing before bringing any action before the court.
Subscribed before me this ___ day of _________, 20___
My commission Expires on
Time Table for Access to the Child(ren)
(If necessary, prepare schedules for each child)
Be very specific about times, dates, pick up and drop off locations and any notice required for changes to any given visit.
Period Specify precise dates, times, locations of pickup & drop off
March School Break
Access to School reports
Access to Medical reports
Describe how missed access visits are to be made up:
Describe how changes to this schedule will be made: