Back to Shared Parenting Works parenting plans
COUNTY OF
|
In re the
Marriage of:
Petitioner, and
Respondent. |
NO.
PARENTING
PLAN [ ] PROPOSED (PPP) [ ] TEMPORARY
(PPT) [ ] FINAL
ORDER (PP) |
From This Day Forward…
1.
The parties
find and agree that it is in the best interest of the children to
encourage
frequent and continued contact with both parents despite the condition
of
separation or dissolution of the relationship between parents. To
accomplish
this both parents must share equally all the rights and
responsibilities of all
aspects of child rearing and to constantly foster the love affection
and
positive contact between the children, parents, close relatives, and
those
friends which have had continuing contact with the children thereby
offering
some sort of stability and constancy. The parties further agree that
the
separation of the child or children from any or all of the
aforementioned
people will likely endanger not only the child’s physical
wellbeing but
significantly impair the child’s emotional development. The parties may or may not
agree on the
past or history of the relationship but to raise good kids you must
work on
today in the most positive manner possible.
This
parenting plan is:
[
] the
final parenting plan signed
by the court pursuant to a decree of dissolution entered on
_______________
[Date].
[
] the
final parenting plan signed
by the court pursuant to an order entered on ____________ [Date] which
modifies
a previous parenting plan or custody decree.
[
] a
temporary parenting plan
signed by the court.
[
] proposed
by
______________________________ [Name].
IT
IS HEREBY ORDERED, ADJUDGED AND DECREED:
The
parties agree that the following are acceptable guiding principles of
parenting
and agree to promote these principles at all times.
A.
clothing
B.
feeding
C.
protecting from harm and ill
influence
D.
education
E.
offering the encouragement and
instruction so as to instill basic social and personal values
F.
teach effective communication,
empathy,
and social responsibility
G.
religious and or philosophical
guidance
H.
to promote critical thinking
and analysis
of benefit and consequence
I.
teach concepts of truth
justice and
freedom
J.
teach to take responsibility
for their
actions
K.
to treat others as they wish
to be
treated
L.
teach the importance of
commitment,
family, friendship, hard work, perseverance, Education/learning and
compromise.
M.
Teach respect for age, wisdom,
elders and
the opinions and rights of others.
I. GENERAL INFORMATION
This
parenting plan applies to the following children:
Name
Age
II. BASIS FOR RESTRICTIONS
Under certain
circumstances, as outlined
below, the court may limit or prohibit a parent’s contact with
the child(ren)
and the right to make decisions for the child(ren).
2.1 PARENTAL CONDUCT
Alcohol
will be limited to legal driving limits while the children are in that
parents
care. That is to say that the attending parent will at all times stay
within
the limits of that states driving allowance.
With
the exception of those drugs available over the counter or those
prescribed by
a doctor for an immediately identifiable illness within the dates of
prescription as listed on the container, Neither parent shall at any
point have
any drugs or knowledge of such drugs while the children are the
responsibility
of that parent whether in their presence or not.
The
effects of any substance reasonably deemed to impair judgment should be
gone at
least 24 hours prior to any contact with the children.
False allegations
Any allegations determined to
be false by
a competent authority recognized by the court will automatically result
in loss
of parental rights for a period of 6 months for the first offence and 1
year
for the second offence and shall counted constitute abuse of the child
or
children per the provisions of this agreement.
Any finding by CPS to be
either
unfounded, not substantiated or closed without investigation will be
considered
abuse by the terms of this agreement
General conduct
The parties have the right to
the
reasonable enjoyment of anyone’s company who do not pose a threat
to the well
being of the children, as may be defined by the court, without the
interference
of the other parent.
No disparaging comments about
the other
parent or their choices shall be made to or in the presence of the
children by
the parent or their associates. Both parents will monitor all
discussions for
this condition.
Parental
education
Both
parents agree to voluntarily attend a class as determined by the court
which
addresses the wellbeing of the child(ren) during the dissolution
process and
obtain certificate of completion. The children may attend with either
or both
parents both parties agree to make every effort to attend at least one
parenting class to be completed within the next 6 calendar months.
Moving
The
parties may move anywhere within 60 miles of each other within 3
calendar years
as it does not cause undue stress on the other parents time with the
children.
The
parties may move long distance only after an independent study of
impact on the
children by a mutually agreed upon evaluator and the approval of that
evaluator. Then a clear and mutually agreed schedule of parenting time,
travel
and expense are filed with the original court of jurisdiction.
The
parties may not remove any child from their usual school in the middle
of the
school year.
Tax benefit
Tax
benefit will be taken equally by both parents either on a rotating
yearly basis
or in the case of 3 or more children they will split the benefit so
that each 2
yrs the benefit is equal to both parents
Children’s
activities
Neither
parent shall intentionally schedule activities which occur during the
others
parenting time.
Should
an activity such as a seasonal team sport occur within the other
persons time
that parent agrees to foster the child’s involvement in that
activity and to
attend all scheduled events as the parties agree this promotes
responsibility
of the child to their decision to participate, the team and follow
through
A
child shall be allowed to participate in any school based activity that
does
not conflict with mutually agreed activity or appointment which does
not allow
for such participation and the cost shall be split equally by both
parents.
Both
parents shall be allowed to attend any function attended by the child
and shall
be notified within 24 hours of becoming aware of any such event
Punishment/
restriction
The
parties agree that the limit of physical punishment shall be
______________________________________ so as not to mark the child in
any way.
If
the child is restricted for ill behavior or school performance it would
be in
the best interest of the children to have the other parent support that
restriction.
Expenses
Health
insurance for the child(ren) will be paid for by ( ) both parents
equally ( )
mother
( ) father other (
)______________________________________________________________
Co-pay
to be paid by ( ) both parents
equally ( ) mother ( ) father
other (
)______________________________________________________________
Medication
to be paid for by( ) both parents equally ( ) mother ( ) father other (
)______________________________________________________________
Daycare
to be paid for by( ) both parents equally ( ) mother ( ) father other (
)______________________________________________________________
Non
elective medical not covered by insurance to be paid for by( ) both
parents
equally
(
) mother ( ) father other (
)______________________________________________________________
Elective
medical to be paid for by( ) both parents equally ( ) mother ( ) father other (
)______________________________________________________________
Private
schooling to be paid for by ( ) both parents equally ( ) mother ( ) father
other (
)______________________________________________________________
After
school activities will be paid for by( ) both parents equally ( )
mother ( )
father other (
)______________________________________________________________
Sports
will be paid for by( ) both parents equally ( ) mother
( ) father
other (
)______________________________________________________________
Field
trips will be paid for by( ) both parents equally ( ) mother ( ) father other (
)______________________________________________________________
Tutoring
will be paid for by( ) both parents equally ( ) mother ( ) father other (
)______________________________________________________________
Required
school supplies will be paid for by( ) both parents equally ( ) mother ( ) father
other (
)______________________________________________________________
Any
required uniforms, costumes or outfits will be paid for by( ) both
parents
equally
( ) mother (
)
father other (
)_____________________________________________
Any
lessons or instructional programs such as swimming or driving to be
paid for
by ( ) both
parents equally ( )
mother ( ) father other (
)___________________________________
Any
organization such as Boy scouts or Girl scouts which the child(ren)
chose to
participate in shall be paid for by( ) both parents equally ( ) mother
( )
father other (
)______________________________________________________________
Any
activity or organization which directly promotes scholastic achievement
or
education shall be paid for by( ) both parents equally ( ) mother ( )
father other (
)______________________________________________________________
Life
insurance for the child(ren) will be paid for by( ) both parents
equally ( )
mother
( ) father other (
)______________________________________________________________
Beneficiary
to be listed as both parents equally with right of survivorship.
Life
insurance on either parent to have beneficiary of both children equally
with
other parent as executor
Any
retirement plan to list children as beneficiary and other parent as
executor
Each
parent shall supply all furnishings for their respective homes and any
furnishings for the child(ren) so as to furnish an appropriate room for
said
child(ren)
The
attending parent will supply all food and clothing for the duration of
their
stay with that parent.
Any
payments due to the other shall be presented no later than the 15th
of the month following the expense and paid in full no later than 14
days after
presentation. All documents and receipts are to be copied and presented
with a
request for payment. Any items covered by this agreement not repaid by
the deadline,
in the absence of a written agreement otherwise, shall be considered a
default
judgment and shall bear interest from that moment forward as the court
may deem
reasonable. Any reasonable expense not covered herein shall be resolved
within
30 days of receipt of written notice of the other party outlining
details of
that expense. Should the parties not agree both reserves the right of
determination of the mediator as otherwise set forth in this plan.
Primary
consideration
Despite
the schedule the attending parent will always first offer the other
parent the
time that the children would otherwise be with a third party
The
parties agree that whenever possible the children should be with their
siblings
unless agreed upon in advance by both parents
Home
environment
The
home of both the father and mother will be furnished as a home for the
child.
Each parent will be responsible for furnishing and caring for the
child’s
clothing and belongings while in their care.
Contact
Children
and parents alike have the right to contact the other within reasonable
hours
Issues and
concerns
Each
parent shall, once per week, at the point of exchange provide the
receiving
parent an executed copy of the issues and concerns form for each child
outlining all scheduled activities, appointments, physical and
emotional
observations, accomplishments, and restrictions for each child. Each
parent
shall keep these for a period of no less than 2 yrs prior to disposal.
Possessions
As
the children may bring or leave their small toys or belongings and
various
pieces of clothing to the other parents home they should be cared for
and
returned as soon as possible.
This
should not be the responsibility of the
child.
Flexible time
Each
parent may forfeit up to 21days of care
without compensation
Counseling
Should
any Parent or child be recommended to counseling both parties agree to
split
the cost equally for the child(ren ) however, each parent must pay for
themselves and agree to assist the counselor in any way possible to
include
honest accounts of their involvement in any matter of concern. In
addition
Parties agree to follow all directions of said counselor unless agreed
to by
both parties in writing.
Introduction
of any new partner
As
it should be of concern who is introduced into the children’s
lives, the arties
agree that prior to introducing a “new partner” to the
child(ren) the parties
will make every effort to have association with said person for at
least 6
months and have established some level of permanence in their
involvement. Above
and beyond any statutes regulating such the parties agree mutually not
to
cohabitate with any “new partner” for at least 6 months
following their
introduction to the children. Refer to
code__________________________________________________________.
Any discussions pertaining to
the
children or the dissolution of the relationship will be held in the
absence of
the children
Any discussions of money or
support will
be discussed in the absence of the children.
Any disagreements between
parents will be
discussed in the absence of the children
The children will not be used
as
messengers between parents
The opinion of any child will
not be
solicited for the purpose of challenging the other parent’s
opinion
[ ]
The
[ ] mother’s [ ] father’s residential time with the
child(ren) shall be limited
or restrained completely, and mutual decision-making and designation of
a
dispute resolution process other than court action shall not be
required,
because [ ] this parent
[ ] a person residing with this parent has engaged in the conduct which
follows:
[ ]
Willful abandonment that continues for
an extended period of time or substantial refusal to perform parenting
functions (this applies only to parents, not to a person who resides
with a
parent).
[ ]
Physical, sexual or a pattern of
emotional abuse of a child.
[ ]
A history of acts of domestic violence
as defined in ___________________ or an assault or sexual assault which
causes
grievous bodily harm or the fear of such harm.
2.2 OTHER
FACTORS
[ ]
Does
not apply.
[ ]
The
[ ] mother’s [ ] father’s
involvement
or conduct may have an adverse effect on the child(ren)’s best
interests
because of the existence of the factors which follow:
[ ]
Neglect or substantial nonperformance
of parenting functions.
[ ]
A long-term emotional or physical
impairment which interferes with the performance of parenting functions
as
defined in _____________________
[ ]
A long-term impairment resulting from
drug, alcohol, or other substance abuse that interferes with the
performance of
parenting functions.
[ ]
The absence or substantial impairment
of emotional ties between the parent and child.
[ ]
The abusive use of conflict by the
parent which creates the danger of serious damage to the child’s
psychological
development.
[ ]
A parent has withheld from the other
parent access to the child for a protracted period without good cause.
[ ]
Other:
III. RESIDENTIAL SCHEDULE
The
residential schedule must set forth
where the child(ren) shall reside each day of the year, including
provisions
for holidays, birthdays of family members, vacations, and other special
occasions, and what contact the child(ren) shall have with each parent.
Parents are encouraged to create a
residential schedule that meets the developmental needs of the
child(ren) and
individual needs of their family.
Paragraphs 3.1 through 3.9 are one way to write your residential
schedule. If you do not use these
paragraphs, write in your own schedule in Paragraph 3.13.
3.1 SCHEDULE
FOR CHILDREN UNDER SCHOOL AGE
[ ]
There
are no children under school age.
[ ]
Prior
to enrollment in school, the child(ren) shall reside with the [ ]
mother [ ]
father, except for the following days and times when the child(ren)
will reside
with or be with the other parent:
from
____________________ [day and time] to ___________________ [day and
time]
[ ]
every week [ ] every other week [ ] the
first and third week of the month
[ ]
the second and fourth week of the month
[ ] other:
from
_____________________ [day and time] to __________________ [day and
time]
[ ]
every week [ ] every other week [ ] the
first and third week of the month
[ ]
the second and fourth week of the month
[ ] other:
Weekends
from
_____________________ [day and time] to __________________ [day and
time]
[ ]
every week [ ] every other week [ ] the
first and third week of the month
[ ]
the second and fourth week of the month
[ ] other:
3.2 SCHOOL
SCHEDULE.
Upon
enrollment in school, the child(ren) shall reside with the [ ] mother [ ] father, except for the following days
and times when the child(ren) will reside with or be with the other
parent:
from
______________________ [day and time] to _________________ [day and
time]
[ ]
every week [ ] every other week [ ] the
first and third week of the month
[ ]
the second and fourth week of the month
[ ] other:
from
______________________ [day and time] to _________________ [day and
time]
[ ]
every week [ ] every other week [ ] the
first and third week of the month
[ ]
the second and fourth week of the month
[ ] other:
Weekends
from
_____________________ [day and time] to __________________ [day and
time]
[ ]
every week [ ] every other week [ ] the
first and third week of the month
[ ]
the second and fourth week of the month
[ ] other:
[ ]
The
school schedule will start when each child begins [ ] kindergarten [ ]
first
grade
[ ] other:
3.3 SCHEDULE
FOR WINTER VACATION.
The
child(ren) shall reside with the [ ] mother
[ ] father during winter vacation, except for the following days
and
times when the child(ren) will reside with or be with the other parent:
Weekends
from
_____________________ [day and time] to __________________ [day and
time]
[ ]
every week [ ] every other week [ ] the
first and third week of the month
[ ]
the second and fourth week of the month
[ ] other:
3.4 SCHEDULE
FOR OTHER SCHOOL BREAKS.
The
child(ren) shall reside with the [ ] mother
[ ] father during other school breaks, except for the following
days and
times when the child(ren) will reside with or be with the other parent:
Weekends
from
_____________________ [day and time] to __________________ [day and
time]
[ ]
every week [ ] every other week [ ] the
first and third week of the month
[ ]
the second and fourth week of the month
[ ] other:
3.5 SUMMER
SCHEDULE.
Summer
months will be divided in to no less than 2 week
blocks for each parent and not to exceed 1 month
Upon
completion of the school year, the child(ren) shall reside with the [ ]
mother [ ] father, except for the
following days and times when the child(ren) will reside with or be
with the
other parent:
[ ]
Same
as school year schedule.
[ ]
Other:
Weekends
from
_____________________ [day and time] to __________________ [day and
time]
[ ]
every week [ ] every other week [ ] the
first and third week of the month
[ ]
the second and fourth week of the month
[ ] other:
3.6 VACATION
WITH PARENTS.
For
any stay of more than 72 hrs or 60 miles, location and contact number
must be
provided to other parent
[ ]
Does
not apply.
[ ]
The
schedule for vacation with parents is as follows:
3.7 SCHEDULE
FOR HOLIDAYS.
The
residential schedule for the child(ren) for the holidays listed below
is as
follows:
With
Mother
With
Father
(Specify
Year
(Specify
Year
Odd/Even/Every)
Odd/Even/Every)
New Year’s Day
Martin Luther King Day
Presidents’ Day
Memorial Day
July 4th
Labor Day
Veterans’ Day
Thanksgiving Day
Christmas Eve
Christmas Day
[ ]
For
purposes of this parenting plan, a holiday shall begin and end as
follows (set
forth times):
[ ]
Holidays
which fall on a Friday or a Monday shall include Saturday and Sunday.
[ ]
Other:
3.8 SCHEDULE
FOR SPECIAL OCCASIONS.
The
residential schedule for the child(ren) for the following special
occasions
(for example, birthdays) is as follows:
With
Mother
With
Father
(Specify
Year
(Specify
Year
Odd/Even/Every)
Odd/Even/Every)
[ ]
Other:
3.9 PRIORITIES
UNDER THE RESIDENTIAL
SCHEDULE.
[ ]
Does
not apply.
[ ]
If
the residential schedule, paragraphs 3.1 - 3.8, results in a conflict
where the
children are scheduled to be with both parents at the same time, the
conflict
shall be resolved by priority being given as follows:
[ ]
Rank the order of priority, with 1
being given the highest priority:
____school
schedule (3.1, 3.2)
____vacation
with parents (3.6)
____winter
vacation (3.3)
____holidays
(3.7)
____spring
vacation (3.4)
____special
occasions (3.8)
____summer
schedule (3.5)
[ ]
Other:
3.10 RESTRICTIONS.
[ ]
Does
not apply because there are no limiting factors in paragraphs 2.1 or
2.2.
[ ]
The
[ ] mother’s [ ] father’s residential time with the
children shall be limited
because there are limiting factors in paragraphs 2.1 and 2.2. The following restrictions shall apply when
the children spend time with this parent:
[ ]
There
are limiting factors in paragraph 2.2, but there are no restrictions on
the
[ ] mother’s [ ]
father’s residential time with the children for the following
reasons:
3.11 TRANSPORTATION
ARRANGEMENTS.
Transportation
of the children shall be the equal responsibility of both parents. One
parent
picks up and the other drops off at a mutually agreed upon public place
unless
other arrangements are made between the parties in writing or as
outlined below.
Transportation
arrangements for the child(ren),
between parents shall be as follows:
3.12 DESIGNATION OF
CUSTODIAN.
The
children named in this parenting plan are scheduled to reside the
majority of
the time with the [ ] mother [ ] father.
This parent is designated the custodian of the child(ren) solely
for
purposes of all other state and federal statutes which require a
designation or
determination of custody. This designation
shall not affect either parent’s rights and responsibilities
under this
parenting plan.
3.13 Extraordinary
circumstances
not specifically addressed such as military deployment , special needs
children
, medical impairments , accomadations for handicap of child or parent ,
travel
for work and career relocation should be addressed here
____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
3.14 SUMMARY
OF REGARDING RELOCATION OF A CHILD.
This is a
summary only.
If the person
with whom the child resides a
majority of the time plans to move, that person shall give notice to
every
person entitled to court ordered time with the child.
This notice
must be at least 60 days before the
intended move. If the relocating person
could not have known about the move in time to give 60 days’
notice, that
person must give notice within 5 days after learning of the move.
If the move
is within the same school district,
the relocating person must provide actual notice by any reasonable
means. A person entitled to time with the
child may
not object
Notice may be
delayed for 21 days if the
relocating person is entering a domestic violence shelter or is moving
to avoid
a clear, immediate and unreasonable risk to health and safety.
If
information is protected under a court order
or the address confidentiality program, it may be withheld from the
notice.
A relocating
person may ask the court to waive
any notice requirements that may put the health and safety of a person
or a
child at risk.