Fill and Sign the Cynthia Bridges Secretary Department of Revenue State Form

______________ : ______ JUDICIAL DISTRICT COURT VS : PARISH OF ______ , LOUISIANA ______________ : DOCKET NO. ______ ____________________________ _____________________________________ CONSENT JUDGMENT This cau se came for hearing on this ___ day of ______ 20 ___ . PRESENT: ______________ , attorney for ______________ ; and ______________ , attorney for ______________ . The Court, considering the pleadings filed herein, and upon consent of the parties hereto, for the reasons orally assigned: IT IS ORDERED, ADJUDGED AND DECREED that visitation ri ghts will be set forth as follows: l. ______________ shall have visitation with the minor ch ildren, ______________ and ______________ , every other weekend from 6:00 P.M. on Fridays and ending at 6:00 P.M. on Sundays, with said visitation privileges beginning the weekend of ______ ___ , 20 ___ . 2. Alternating the following holidays, consisting of New Year's Eve, New Year's Day, Easter, Independence Day, Labor Day, Thanksgiving, Christmas Eve, and Christmas Da y, beginning with Easter of 20 ___ , with Plaintiff, ______________ , exercising visitation on this holiday. Visitation will begin at 9:00 A.M. on the day of the holiday and end at 5:00 P.M. on the same day. 3. Any other time mutually agreed upon between the parties. IT IS FURTHER ORDERED, ADJUDGED AND DECREED that ______________ shall at all times during visitation with the minor children refrain from consuming alcohol or using controlled dangerous substances. IT IS FURTHER ORDERED, ADJUDGED AND DECREED that all costs of these proceedings are to be paid by Defendant, ______________ . JUDGMENT READ, REND ER ED AND SIGNED this ________ day of ______ 20 ___ , at ______________ , Louisiana. _______________________________ DISTRICT JUDGE APPROVED AS TO FORM: ______________ Attorney at Law ______________ ______ , LA ______ (___ )______ La. Bar Roll No. ______ BY: ___________________________________________ ______________ Attorney for ______________ ______________ Attorney at Law ______________ ______ , LA ______ BY: ___________________________________________ ______________ Attorney for ______________