PARENTING PLAN
Parents’ names: and:
Case No:
This Parenting Plan is submitted to the court:
With the agreement of both parents.
By without the agreement of the other parent.
The name(s) and birth date(s) of our child/ren under the age of eighteen (18) years is/are:
Name Date of Birth
Although we will not be living together, in general the best arrangement for our child/ren is to have frequent and
continuing contact with both parents. The well-being and needs of our child/ren are a major concern. When the
child/ren is/are in either parent’s physical custody, each parent will provide the child/ren with (1) regular and
nutritious food, (2) clean and appropriate clothing, and (3) appropriate medical examinations and treatment.
Decision-making is an important part of parenting and the parent who has the child/ren in their care shall make
decisions about the child/ren’s day-to-day care and control. As our child/ren grow/s and change/s and our life
situations change, we shall be flexible and cooperative and communicate so we can continue to meet the
needs of our child/ren.
In addition, when caring for the child/ren, each parent shall:
Require the child/ren to obey and respect the child/ren's teachers and the law.
Require the child/ren to attend all regular sessions of school until graduation, unless excused by medical
reasons, the school, the court or both parents.
EXCEPT FOR THE HOLIDAYS SELECTED BELOW, OUR PARENTING SCHEDULE WILL BE:
(List days, evenings, overnights, times of day)
Our child/ren will be with Mother:
PARENTING PLAN PAGE 1
CAO 6-3 04/12/02
Our child/ren will be with Father:
POLICY FOR SCHEDULING CHANGES:
In the event occasional scheduling changes need to be made, a request for such change will be made at least
hours in advance. Requests may need to be refused from time to time. Neither parent will schedule any
activities for the child/ren that interfere with the other parent’s scheduled time.
When our child/ren is ill during a scheduled block of parenting time and cannot be with the other parent, this
time will be made up as soon as possible.
UNINTERRUPTED TIME AND HOLIDAYS:
Each parent will have days of uninterrupted time with the child/ren each year with hours days
advance notice to the other parent. The uninterrupted time of either parent will have priority over holidays
occurring during the uninterrupted time.
Mother will have priority for uninterrupted time in even-numbered odd-numbered years. Father will have
priority for uninterrupted time in even-numbered odd-numbered years.
Both of us will discuss with the other parent our vacation plans with the child/ren. “Vacation” is defined as a
trip of up to days away from home.
The Holiday Schedule for the Child/ren is as Follows:
(Write “mother” or “father” under the headings Even Years , Odd Years or Every Year . Write the “hour and day” the child/ren
will start the time with mother or father under the heading Start and the “hour and day” the child/ren will end the time with
that parent under the heading End .) *Holidays that are observed on Monday.
SPECIAL DAYS Even Years Odd Years Every Year Start
End
New Years Day
PARENTING PLAN PAGE 2
CAO 6-3 04/12/02
*Martin Luther King Day
*Presidents' Day
Easter
*Memorial Day
Fourth of July
*Labor Day
*Columbus Day
Halloween
Veterans' Day
Thanksgiving Day
December 24
December. 25
Child/ren's Birthday
Our child/ren will spend MOTHER’S DAY with Mother and FATHER’S DAY with Father each year.
When a holiday falls on a weekend , our child/ren will spend that holiday with the parent they are scheduled
to be with that holiday or that weekend.
When a holiday falls on the Friday before or the Monday after a weekend, our child/ren will spend that
holiday with the parent they are scheduled to be with that holiday or that weekend.
If the holiday schedule results in our child/ren spending 3 weekends in a row with the same parent, the
other parent will have our child/ren the weekend following the holiday weekend. This will result in each parent
having the child/ren for 2 weekends in a row.
WINTER/CHRISTMAS SCHOOL BREAK will be divided as follows:
First Part, from o'clock . m. on until o'clock . m. on
, the child/ren will be with
Second Part, from o'clock m. on until o’clock . M
child/ren will be with or
SPRING BREAK is defined as the following time period
Our child/ren will spend SPRING BREAK as
follows:
EDUCATION:
Each of us will take responsibility for communicating with our child/ren's schools, to remain informed and to
attend conferences with our child/ren's teachers and counselors. We will authorize our child/ren’s schools to
release any and all information to either parent. Major decisions about education will be made by: both
Mother and Father or Mother Father.
PARENTING PLAN PAGE 3
CAO 6-3 04/12/02
COMMUNICATION:
During separation from our child/ren, we will maintain frequent contact with our child/ren by phone, letter,
postcards, video, electronically or audiotapes. Each parent will respect the child/ren's right to privacy to such
communication. We will encourage our child/ren to communicate frequently with the other parent and we will
help our young child/ren to communicate with the other parent. We will inform the other parent of the address
and telephone number where our child/ren can be reached anytime s/he is away from home for more than
48 hours - or - hours. Each of us will provide the other parent with our current address and telephone
number to allow us to communicate with and about our child/ren.
To protect our child/ren from any conflict between us, we will not question our child/ren about the other parent
and we will not speak negatively about the other parent any time our child/ren can hear. We will communicate
directly with each other and not through our child/ren and will focus our discussions on the child/ren.
SAFETY:
We will not compromise the safety of our child/ren. Further, we will
Personally supervise and control the conduct and activities of a child under the age of years
except when the child is at school or in known or usual recreational activities or in the immediate care of
another competent person.
Not operate a vehicle when impaired by alcohol or drugs when our child/ren is in the vehicle or use
alcohol carelessly when our child/ren is in our care.
Provide and use child safety restraints for our child/ren as required by law.
LOVE AND AFFECTION:
Each parent shall encourage love and affection between the child/ren and the other parent. Neither parent
shall do anything, nor permit any other person residing in their household to do anything, which would alienate
the child/ren from the other parent or distort the child/ren's opinion of the other parent or impair the child/ren's
love and respect for the other parent.
READINESS:
The child/ren shall be ready and promptly available for all custody exchanges. The child/ren shall be
exchanged with sufficient clean clothing appropriate for ordinary activities. We will arrive on time (no more
than 10 minutes early or late) to exchange our child/ren, and we will deliver our child/ren's personal
belongings at the same time we exchange our child/ren. We will assist our young child/ren to remember to
take the personal belongings and school supplies s/he needs.
PARENTING PLAN PAGE 4
CAO 6-3 04/12/02
HEALTH CARE:
The child/ren shall be provided with regular health, optical and dental care and each parent shall make sure our
child/ren take(s) his/her prescription medications as directed.
In emergencies, each parent can consent to emergency medical treatment for our child/ren as needed.
The intent is to take care of the medical emergency first and communicate with the other parent as soon
as possible.
We will communicate with each other on major health care for our child/ren.
Each parent shall instruct our child/ren’s health care providers to list both parents on the health records.
Each parent has the right to the child/ren's medical information and records.
Non-emergency health care decisions will be made by: (for each type of care, place an “X’ under “Mother”,
“Father” or “Both Parents”)
Type of Care By Mother By Father By Both Parents
Medical
Dental
Optical
Orthodontic
Psychiatric
Psychological
Special Education
Addiction Treatment
Counseling
Any health care for the child/ren, whether or not covered by insurance, that would result in an actual out-
of-pocket expense of over $500 to the parent who did not incur or consent to the expense, must be approved in
advance, in writing, by both parents or by prior court order. (Note: The court may consider whether consent for
out-of-pocket expenses in excess of $500 was unreasonably requested or withheld and order payment of the
incurred expense in some percentage other than the Guidelines Income.)
CHILD CARE:
The work-related childcare provider shall be chosen by Mother Father both parents.
If occasional (not work-related) childcare is needed, we shall be are not required to offer the other
parent the chance to provide this care before seeking someone else to care for our child/ren. The parent who
has physical custody shall make any needed occasional child care arrangements and pay any costs.
TRANSPORTATION:
The parent who is receiving our child/ren will pick him/her/them up or arrange to have him/her/them picked
up.
or
.
The actual COSTS of transporting our children beyond miles shall be paid b y each parent in the
following percentages: % mother % father .
PARENTING PLAN PAGE 5
CAO 6-3 04/12/02
RELOCATION BY PARENT:
Neither parent shall move our child/ren more than miles without our mutual written agreement or a
court order.
We shall give each other at least days written notice when a decision to move is made. The written
notice shall contain:
The new address and mailing address, as soon as it is known
Telephone number, as soon as it is known
Date move will be made.
OTHER AGREEMENTS REGARDING OUR CHILD/REN:
Attorney Fees : If the court finds one of the parents is in willful disobedience of a provision of this Parenting
Plan, then the parent seeking to enforce that provision is entitled to costs and a reasonable attorney's fee at the
discretion of the court.
Complete Agreement : By signing this Parenting Plan we state that this written agreement contains the entire
understanding of both parents and no earlier written or verbal agreements are enforceable.
Voluntary Execution : By signing this Parenting Plan, we acknowledge we enter into this Parenting Plan
freely, voluntarily and without any duress or undo force, pressure or influence and intending to be legally bound
by the agreement. Each of us is aware we are entitled to obtain legal counsel concerning any questions we
have about this agreement before we sign it.
Duration : Once this Parenting Plan is made an order of the court, by agreement or by default judgment, it
remains in effect unless modified by court order.
We understand our unsigned Parenting Plan (or a copy) will be delivered to our attorney(s) for review.
We understand our signed Parenting Plan (or a copy) will: (check all that apply)
Serve as our interim parenting arrangement until a custody/visitation order is signed by the judge.
Be delivered to our case judge to be merged and incorporated into the final order in our case, at the
discretion of the judge.
DATE:
Signature of Mother
DATE:
Signature of Father
PARENTING PLAN PAGE 6
CAO 6-3 04/12/02
STATE OF IDAHO )
) ss.
County of )
On this day of, , before me, a Notary
Public in and for the State, personally appeared , identified to be the
person whose name is subscribed to the foregoing instrument and acknowledged to me that he/she executed
the same.
IN WITNESS WHEREOF, I have hereunto set my hand and seal the date last above written.
_____________________________________________
Notary Public for Idaho
Residing At
My Commission Expires
STATE OF IDAHO )
) ss.
County of )
On this day of , , before me, a Notary
Public in and for the State, personally appeared , identified to be the
person whose name is subscribed to the foregoing instrument and acknowledged to me that he/she executed
the same.
IN WITNESS WHEREOF, I have hereunto set my hand and seal the date last above written.
____________________________________________
Notary Public for Idaho
Residing At
Commission Expires
PARENTING PLAN PAGE 7
CAO 6-3 04/12/02
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