Child custody forms include visitation days and hours, pick-up locations, school vacations, education, health care, religious education, travel and other important issues.
A child custody agreement is a document that outlines the rights and responsibilities of the custodial and non-custodial parents in regards to the well-being of their minor children.
Laws may vary from state to state, so please consult a licensed family attorney in your jurisdiction before signing any legal document.
The material listed below is only an example and shall not be considered legal advice. This agreement is provided as is, without warranty of any kind, either expressed or implied.
Children: ____________, age ___, and _____________, age ___ (residing with ________________)
Both parents agree physical custody will go to the ______________ father/mother and she/he will have full-time responsibility regarding the child/children. The _____________ has agreed that the ________________ of the child/children shall have regular access and visitation with the children and he/she will not restrict communication with the other parent.
The Father/Mother/Both parents ____________ shall have legal custody of the child/children which will enable him/her/both to make any and all decisions regarding the child’s religion upbringing, education, medical treatment, transportation, disciplinary rules, school and extra-curricular activities.
INSURANCE, TUITION, TAX
The Father/Mother/Both parents ______________ is/are responsible for including the child on his/her/their health insurance plan. The Father/Mother/Both parents ___________ will cover the child's tuition that amounts to $_______________. The Father/Mother/Both parents__________ is/are entitled to claim the child as a dependent for tax purposes.
The non-custodial parent will have the child for ________days/hours each week/month.
Child/Children shall be picked-up at ____________________ no later than ____:___ AM/PM on __________ (day of the week) and dropped-off at the same location no later than _____:___ AM/PM on ___________ (day of the week).
The child/children shall spend every other weekend with the ___________ mother/father.
Mother's Birthday - child(ren) will be with mother
Father's Birthday - child(ren) will be with father
Child(ren)'s Birthday - both parents shall have reasonable access and agree to share this day equally.
Parents will alternate custody on Christmas, Easter, Thanksgiving and Halloween.
Federal holidays that are celebrated on a Monday or a Friday shall be negotiated by the parents on a case by case scenario and shall be added to the weekend visitation schedules.
Mother’s and Father’s Day: The child/children will spend with the respective parent.
Summer vacations and Spring Breaks will be split evenly between the two parents.
The ___________ father/mother agrees that the __________ father’s/mother’s unscheduled visitation will be allowed within reason and scheduled in a way that both parents are in agreement.
A notice period of _____12/24/48 hours in advance shall be given to the other parent if one parent needs to switch days of custody, travel plans or any other important change in the agreement.
If any issue that is not covered in the agreement may arise or disagreements occur during the custody negotiations that cannot be agreed upon, both parents agree that a neutral third-party will provide assistance in the form of arbitration/mediation that shall assist the parents in coming to an agreement that is beneficial to all parties. Arbitration/Mediation shall be provided and/or moderated by ____________________________________.
Terms of this agreement are subject to change as the children age and make their own decisions about their free time. Neither parent shall do anything or act in a way which may estrange the Child from the other parent. Both parents agree to be respectful of these wishes and let them take precedence within reason.
The details in this agreement have been approved by both parents on this _________ of ___________ of 20___ and shall be submitted to the state court for final approval.