Children

a. General Information

Name Write the full name of your first child covered by this plan.

b. Children's Basic Information

Date of Birth Enter your first child's birth date. Name Write the full name of your second child covered by this plan. Date of Birth Enter your second child's birth date. Name Write the full name of your third child covered by this plan. Date of Birth Enter your third child's birth date. Name Write the full name of your fourth child covered by this plan. Date of Birth Enter your fourth child's birth date. b. Shared Parental Responsibility with Decision Making Authority Check this box if both parents will share major decisions and try to agree, but one parent has final say on certain topics if they cannot agree. Education/Academic decisions Parent Write the name of the parent who will make the final call on school and education choices if the parents disagree. Non-emergency health care Parent Write the name of the parent who will make the final call on routine, non-emergency medical care if the parents disagree. Other: {Specify} Describe any other type of major decision you want to assign, such as religion or sports. Parent Write the name of the parent who will make the final call on the decision you described above. ________________________ Describe another type of major decision you want to assign to one parent. Parent Write the name of the parent who will make the final call on this decision. ________________________ Describe one more type of major decision you want to assign to one parent. Parent Write the name of the parent who will make the final call on this decision. c. Sole Parental Responsibility: Check this box only if one parent alone should make all major decisions because sharing would harm the children. It is in the best interests of the child(ren) that Parent {name or designation} Write the name of the parent who will have sole authority to make all major decisions for the children. a. Either parent may register the child(ren) and allow them to participate in the activity of the child(ren)'s choice. Check this box if either parent can sign the children up for any activity the children choose. b. The parents must mutually agree to all extra-curricular activities. Check this box if both parents must agree before the children join any activity.

c. Possession & Access

c. The parent with the minor child(ren) shall transport the minor child(ren) to and/or from all mutually agreed upon extra-curricular activities, providing all necessary uniforms and equipment within the parent's possession. Check this box if the parent who has the children must drive them to and from agreed activities and provide the gear they have. d. The costs of the extra-curricular activities shall be paid by: Check this box if you want to split the cost of activities between the parents by percentage. Parent Write the name of the first parent who will help pay for activity costs. % Enter the percentage of activity costs this parent will pay. Parent Write the name of the second parent who will help pay for activity costs. % Enter the percentage of activity costs this parent will pay. e. The uniforms and equipment required for the extra-curricular activities shall be paid by: Check this box if you want to split the cost of uniforms and equipment between the parents by percentage. Parent Write the name of the first parent who will help pay for uniforms and equipment. % Enter the percentage of uniform and equipment costs this parent will pay. Parent Write the name of the second parent who will help pay for uniforms and equipment. % Enter the percentage of uniform and equipment costs this parent will pay. f. Other: {Specify} Check this box if you want to add another information-sharing rule that is not already listed. f. Other: {Specify} Write out any extra rule about how the parents will share information about the child(ren). Other: Add any additional details or agreements about sharing information that you want included. If necessary, on or before ______________ of each year Enter the date by which both parents should get a copy of the next year's school calendar, such as July 1 or August 1. a. the oldest child Check this box if the parents will follow the school calendar of the oldest child. b. the youngest child Check this box if the parents will follow the school calendar of the youngest child. c. ______________________ County Enter the county whose public school calendar the parents will follow. d._____ School Write the name of the school the child attends. This helps set the dates for breaks and holidays. a. A parent making a request for a schedule change will make the request as soon as possible, but in any event, except in cases of emergency, no less than Check this box if a parent must ask for a schedule change ahead of time, except in emergencies. no less than _____ before the change is to occur. Write how much advance notice a parent must give before changing the schedule, such as '48 hours' or '7 days'. b. A parent requesting a change of schedule shall be responsible for any additional child care, or transportation costs caused by the change. Check this box if the parent who asks for the change must pay any extra child care or travel costs it causes. c. Other {Specify} Check this box if you want to add another rule about schedule changes. c. Other {Specify}__________ Describe any other rule you want to add about how schedule changes work. The following schedule shall apply beginning on Write the date this time-sharing schedule starts. Parent {name or designation}__________ and continue as follows: Write the name or label of the parent whose schedule begins on this date, such as 'the Mother' or a name. The child(ren) shall spend time with Parent _____ on the following dates and times: Write the name or label of the first parent who will spend time with the children on the dates below. WEEKENDS: Every Check this box if this parent has the children every weekend. WEEKENDS: Every Other Check this box if this parent has the children every other weekend. WEEKENDS: Other {specify} Check this box if the weekend schedule follows a different pattern you will describe. Other {specify} _____ Describe the weekend pattern if it is not every weekend or every other weekend. From__________ to __________ Write the start and end times for the weekend visits, such as 'Friday 6 PM to Sunday 6 PM'. WEEKDAYS: {Specify days} List the weekdays this parent has the children, such as 'Monday and Wednesday'. From __________ to __________ Write the start and end times for the weekday visits. OTHER: {Specify} Describe any other time this parent will spend with the children that is not covered above. The child(ren) shall spend time with the Parent _____ on the following dates and times: Write the name or label of the second parent who will spend time with the children on the dates below. WEEKENDS: Every Check this box if this parent has the children every weekend. WEEKENDS: Every Other Check this box if this parent has the children every other weekend. WEEKENDS: Other {specify} Check this box if the weekend schedule follows a different pattern you will describe. Other {specify}_____ Describe the weekend pattern if it is not every weekend or every other weekend. From__________ to __________ Write the start and end times for the weekend visits, such as 'Friday 6 PM to Sunday 6 PM'. WEEKDAYS: {Specify days} List the weekdays this parent has the children, such as 'Tuesday and Thursday'. From __________ to __________ Write the start and end times for the weekday visits. OTHER: {Specify} Describe any other time this parent will spend with the children that is not covered above. d. When the parents are using an alternating weekend plan and the holiday schedule would result in one parent having the child(ren) for three weekends in a row, the parents will exchange the following weekend, so that each has two weekends in a row before the regular alternating weekend pattern resumes. Check this box if you want to swap the next weekend whenever the holiday schedule would give one parent three weekends in a row. This keeps weekends fair between both parents. e. If a parent has the child(ren) on a weekend immediately before or after an unspecified holiday or non-school day, they shall have the child(ren) for the holiday or non-school day. Check this box if the parent who has the kids that weekend should also keep them for a holiday or day off that falls right before or after the weekend. a. Parent ___ shall have the child(ren) from the day and time school is dismissed until December ___ Check this box if you want to split Winter Break, with one parent taking the first half and the other taking the second half, switching each year. a. Parent Write the name of the parent who gets the children for the first part of Winter Break. shall have the child(ren) from the day and time school is dismissed until December Write the day in December when the first parent's time ends and the children go to the other parent. at ___ a.m./p.m in Write the time of day the children switch from one parent to the other. odd-numbered years Check this box if the first parent gets the early half of Winter Break in odd-numbered years (like 2025, 2027). even-numbered years Check this box if the first parent gets the early half of Winter Break in even-numbered years (like 2024, 2026). every year Check this box if the first parent gets the early half of Winter Break every year, with no switching. b. Parent ___ shall have the child(ren) for the entire Winter Break Check this box if you want one parent to keep the children for the whole Winter Break instead of splitting it. b. Parent Write the name of the parent who gets the children for all of Winter Break. Winter Break during ___ odd-numbered years Check this box if this parent gets the whole Winter Break in odd-numbered years (like 2025, 2027). even-numbered years Check this box if this parent gets the whole Winter Break in even-numbered years (like 2024, 2026). every year Check this box if this parent gets the whole Winter Break every year, with no switching. c. Other: Check this box if you want to describe your own Winter Break plan that does not match the other choices. c. Other: Describe in your own words how the children will spend Winter Break with each parent. d. Specific Winter Holidays Check this box if you want to spell out how to share specific winter holidays not covered above. If not addressed above, the specific Winter Holidays such as Christmas, New Year's Eve, Hanukkah, Kwanzaa, etc. shall be shared as follows: Explain how each parent will share holidays like Christmas, New Year's Eve, Hanukkah, or Kwanzaa. a. The parents shall follow the regular schedule. Check this box if you want Spring Break to follow your normal time-sharing schedule, with no special changes. b. The parents shall alternate the entire Spring Break with Parent Check this box if you want the parents to take turns having the children for the whole Spring Break each year. having the child(ren) during the Type the name of the parent who will have the children during Spring Break in odd-numbered years (like 2025, 2027). odd-numbered years Check this box to confirm this parent gets the children during odd-numbered years. and Parent during the Type the name of the parent who will have the children during Spring Break in even-numbered years (like 2024, 2026). even numbered years Check this box to confirm this parent gets the children during even-numbered years. c. Parent _____ Parent shall have the child(ren) for the entire Spring Break every year. Check this box if one parent will have the children for the entire Spring Break every single year. c. Parent Type the name of the first parent listed for this option. Parent Type the name of the parent who will have the children for the whole Spring Break every year. d. The Spring Break will be evenly divided. Check this box if you want to split Spring Break in half between both parents based on their weekend schedule. e. Other: {Specify} Check this box if none of the above choices fit and you want to describe your own Spring Break plan. e. Other: {Specify} Describe your own plan for how the children will spend Spring Break. a. The parents shall follow the regular schedule through the summer. Check this box if you want to keep the same normal time-sharing schedule during the summer with no changes. b. Parent shall have the entire Summer Break from Check this box if one parent will have the children for the whole summer break. b. Parent Type the name of the parent who will have the children for the entire summer. shall have the entire Summer Break from Type the date or time when summer time-sharing starts, such as the last day of school. after school is out until Type the date when this summer period ends. before school starts Type the date or time when summer time-sharing ends, such as before the first day of school. C. The parents shall equally divide the Summer Break as follows: Check this box if you want to split the summer break equally between both parents. During odd-numbered years Check this box if this part of the plan applies during odd-numbered years (like 2025, 2027). even numbered years Check this box if this part of the plan applies during even-numbered years (like 2024, 2026). Parent Check this box to mark which parent gets the first half of summer. Parent Type the name of the parent who will have the children for the first half of summer. Parent shall have the children from Type the name of the other parent who will share the summer break. shall have the children from Type the date when this parent's summer time with the children begins. after school is out until Type the date when this parent's first half of summer ends. During the extended periods of time-sharing, the other parent shall have the child(ren) Describe what time-sharing the other parent gets during the long summer periods. d. Other: {Specify} Check this box if none of the above summer choices fit and you want to describe your own plan. d. Other: {Specify} Describe your own plan for how the children will spend summer break. Based upon the time-sharing schedule, Parent Type the name of the first parent. You will list how many nights the children sleep at their home each year. has a total of overnights per year Type the total number of nights per year the children sleep at this parent's home. Both parents' numbers must add up to 365. and Parent Type the name of the second parent. You will list how many nights the children sleep at their home each year. has a total of overnights per year Type the total number of nights per year the children sleep at this parent's home. Both parents' numbers must add up to 365. 7. If not set forth above, the parties shall have time-sharing in accordance with the schedule which is attached and incorporated herein. Check this box only if you are attaching a separate schedule because the time-sharing plan was not described above. Transportation {Choose only one} Pick one option that says who will drive the children between homes. Check only one box. Parent ______________ shall provide all transportation. Write the name of the parent who will handle all the driving for the children. The parent beginning their time-sharing shall provide transportation for the child(ren). Check this if the parent whose time with the kids is just starting will do the driving to pick them up. The parent ending their time-sharing shall provide transportation for the child(ren). Check this if the parent whose time with the kids is ending will do the driving to bring them back. Other: {Specify} Describe a different driving arrangement that fits your family if none of the choices above work. If a parent is more than ________ minutes late Enter the number of minutes a parent can be late before the other parent can leave and make other plans. Exchange {Choose only one} Pick one option for where the children will be handed off between parents. Check only one box. Exchanges shall be at the parents' homes unless both parents agree to a different meeting place. Check this if the kids will be exchanged at each parent's home unless both agree on another spot. Exchanges shall occur at ______________ Write the specific place where the children will be handed off, such as a store or school. Other: Describe a different exchange plan if the choices above do not fit your situation. Transportation Costs {Choose only one} Pick one option for who pays the cost of driving the children. Check only one box.

d. Child Support

Transportation costs are included in the Child Support Worksheets and/or the Order for Child Support and should not be included here. Check this if driving costs are already counted in the child support paperwork, so they should not be listed here again. Parent ______________ shall pay ______% and Parent __________________ shall pay ______ % of the transportation costs. Write each parent's name and the percent of driving costs each one will pay. The two percents should add up to 100. Other: Describe a different way to split driving costs if the choices above do not fit. a. ___ Either parent may travel within the United States with the child(ren) during his/her time-sharing. Check this box if you want to allow either parent to travel with the children inside the United States during their time with the kids. shall give the other parent at least ____ days written notice before traveling out of state Enter the number of days advance written warning a parent must give before taking the children to another state. telephone numbers where the child(ren) and parent can be reached at least ____ days before traveling Enter how many days before the trip a parent must share the travel plan and contact information. b. ___ Either parent may travel out of the country with the child(ren) during his/her time-sharing. Check this box if you want to allow either parent to take the children outside the United States during their time with the kids. At least ___ days prior to traveling, the parent shall provide a detailed itinerary Enter how many days before an out-of-country trip a parent must share the travel plan and contact information. c. ___ If a parent wishes to travel out of the country with the child(ren), he/she shall provide the following security for the return of the child Check this box if a parent must provide some kind of security or guarantee that the children will return from an out-of-country trip. provide the following security for the return of the child Describe what the traveling parent must provide to guarantee the children come back, such as a deposit or other promise. d. ___ Other Check this box if you have any other travel rules not already covered above. d. ___ Other ___ Write out any other travel rules you want to include. the address of Parent {name or designation} ___ shall be used Enter the name of the parent whose home address will decide which school the children attend. 2. ___ {If Applicable} The following provisions are made regarding private or home schooling: Check this box only if the children will attend private school or be home schooled and you have rules about it. The following provisions are made regarding private or home schooling: Describe your plans and rules for private school or home schooling the children. 3. Other. Write out any other education rules or agreements not already listed. scheduled to reside the majority of the time with Parent ___ Enter the name of the parent the children will live with most of the time. This is only for legal paperwork and does not change either parent's rights. in person Check this if you and the other parent will talk face to face about the children. by telephone Check this if you and the other parent will talk by phone about the children. by letter Check this if you and the other parent will write letters to each other about the children. by e-mail Check this if you and the other parent will use email to talk about the children. Other: {Specify} Check this if you will use another way to communicate that is not listed. Other: {Specify} Describe the other way you will communicate, such as a parenting app or text message. telephone Check this if the children may talk to the other parent by phone. e-mail Check this if the children may contact the other parent by email. other electronic communication in the form of Check this if the children may use another electronic way to reach the other parent. communication in the form of Describe the type of electronic contact, such as video calls or a messaging app. a. Anytime Check this if the children can contact the other parent at any time. b. Every day during the hours of Check this if the children can contact the other parent every day during set hours. Every day during the hours of ____ to Enter the start time the children may contact the other parent each day. Every day during the hours of ____ to ____ Enter the end time the children may contact the other parent each day. c. On the following days Check this if the children can contact the other parent only on certain days. On the following days List the days the children may contact the other parent, such as Tuesday and Thursday. during the hours of ____ to Enter the start time the children may contact the other parent on those days. during the hours of ____ to ____ Enter the end time the children may contact the other parent on those days. d. Other: Check this if you want a different schedule for the children to contact the other parent. d. Other: Describe the other contact schedule you want for the children. Costs of Electronic Communication shall be addressed as follows: Explain who will pay for things like phones, internet, or video apps used to keep in touch. Each parent may select appropriate child care providers Check this if each parent can pick their own child care providers when needed. All child care providers must be agreed upon by both parents. Check this box if both parents must agree before choosing anyone to care for the children. Each parent must offer the other parent the opportunity to care for the child(ren) before using a child care provider for any period exceeding _______ hours. Check this box if one parent must first ask the other parent to watch the children before hiring a babysitter or daycare for longer periods. before using a child care provider for any period exceeding _______ hours. Enter the number of hours after which a parent must first offer the other parent the chance to care for the children. Other: {Specify} Check this box if you want to add your own rule about child care that is not already listed. Other: {Specify} Write out your own child care rule here if you checked the 'Other' box.