Name: ___________________________________ Address: _________________________________ City, State, ZIP: ____________________________ Daytime Telephone No: ______________________ Representing Self, Without a Lawyer ARIZONA SUPERIOR COURT, PIMA COUNTY _____________________________________________ Petitioner/Plaintiff Case No. _________________ PARENTING PLAN and JOINT LEGAL CUSTODY Or SOLE LEGAL CUSTODY _____________________________________________ Respondent/Defendant With Father With Mother GENERAL INFORMATION: The children about whom this parenting plan is concerned are: NAME ____________________ BIRTH DATE ________________ NAME __________________ BIRTH DATE ___________ ____________________ ________________ __________________ ___________ ____________________ ________________ __________________ ___________ Check any and all that apply: The parents agree that since each has a unique contribution to offer to the growth and development of their children, each of them will continue to have a full and active role in providing a sound moral, social, economic, and educational environment for the benefit of the children. The parents agree to modify or amend their existing custody and parenting orders. All court orders currently in force not specifically changed by this agreement will remain in full force and effect. WEEKDAY AND WEEKEND SCHEDULE: The timesharing schedule will be as follows: The children will be in the care of Father as follows: (explain specifically what the agreement is.) ______________________________________________________________________________________ ______________________________________________________________________________________ 1 custody-parenting plan.form Revised 08.03.04 American LegalNet, Inc. www.FormsWorkflow.com The children will be in the care of Mother as follows: (explain specifically what the agreement is.) ______________________________________________________________________________________ ______________________________________________________________________________________ Other custody arrangements are as follows: (Explain specifically what the arrangements are.) ______________________________________________________________________________________ ______________________________________________________________________________________ as follows: (explain) Transportation will be provided by (name) ______________________________________________________________________________________ ______________________________________________________________________________________ ______________________________________________________________________________________ Parents may change their time-share arrangements by mutual agreement and with at least days notice in advance to the other parent. SUMMER MONTHS: This weekday and weekend schedule will apply for all 12 calendar months, with no specific changes during the summer. OR During the summer months, the children will be in the care of Father as follows: (Explain specifically what the arrangement is.) ______________________________________________________________________________________ ______________________________________________________________________________________ ______________________________________________________________________________________ During the summer months, the children will be in the care of Mother as follows: (Explain specifically what the arrangement is.) ______________________________________________________________________________________ ______________________________________________________________________________________ ______________________________________________________________________________________ week period of vacation time with the children. The parents agree Each parent is entitled to a to negotiate the details of the vacation at least days in advance. Parents agree that should either of them travel out of the area with the children, each parent will keep the other informed of travel plans, address(es), and telephone number(s) at which that parent and the children can be reached. Neither parent shall travel with the children outside of Arizona for longer than _____ days without the prior written consent of the other parent or order of the court. 2 custody-parenting plan.form Revised 08.03.04 American LegalNet, Inc. www.FormsWorkflow.com HOLIDAY SCHEDULE: (which takes priority over the regular time-sharing schedule) Check those that apply and indicate days and times of exchange as well as odd/even years if alternating. On three-day weekends (such as Memorial Day, Labor Day, etc.) the children will remain in the care of the parent who has the children for the weekend. If the holiday falls on a Friday, then the pick-up . If the holiday falls on a Monday, then the return time will be . time will be New Year's Eve and New Year's Day ______________________________________________________________________________________ ______________________________________________________________________________________ ______________________________________________________________________________________ Spring Break ______________________________________________________________________________________ ______________________________________________________________________________________ ______________________________________________________________________________________ Mother's Day with Mother ______________________________________________________________________________________ ______________________________________________________________________________________ ______________________________________________________________________________________ Memorial Day ______________________________________________________________________________________ ______________________________________________________________________________________ ______________________________________________________________________________________ Father's Day with Father ______________________________________________________________________________________ ______________________________________________________________________________________ ______________________________________________________________________________________ July 4th ______________________________________________________________________________________ ______________________________________________________________________________________ ______________________________________________________________________________________ Labor Day ______________________________________________________________________________________ ______________________________________________________________________________________ ______________________________________________________________________________________ Thanksgiving ______________________________________________________________________________________ ______________________________________________________________________________________ ______________________________________________________________________________________ 3 custody-parenting plan.form Revised 08.03.04 American LegalNet, Inc. www.FormsWorkflow.com Christmas Eve ______________________________________________________________________________________ ______________________________________________________________________________________ ______________________________________________________________________________________ Christmas Day ______________________________________________________________________________________ ______________________________________________________________________________________ ______________________________________________________________________________________ Christmas Vacation ______________________________________________________________________________________ ______________________________________________________________________________________ ______________________________________________________________________________________ Other Holidays ______________________________________________________________________________________ ______________________________________________________________________________________ ______________________________________________________________________________________ Children's birthdays ______________________________________________________________________________________ ______________________________________________________________________________________ ______________________________________________________________________________________ Parents' birthdays ______________________________________________________________________________________ ______________________________________________________________________________________ _____________________________________________________________________________________ OR: Each parent may have the children on his/her birthday, if he or she so desires. TELEPHONE ACCESS: Each parent may have telephone contact with the children during the children's normal waking hours. Other (explain) 4 custody-parenting plan.form Revised 08.03.04 American LegalNet, Inc. www.FormsWorkflow.com EDUCATIONAL ARRANGEMENTS: Under A.R.S. §§ 25-403(H) and 25-408(L) each parent is entitled to have access to school records of the children directly from the custodian of the records or from the custodial parent unless the Court finds that such access would seriously endanger the children's or the custodial parent's physical, mental, moral, or emotional health. Both parents have the right to participate in school conferences, events and activities, and the right to consult with teachers and other school personnel. Parents will make major educational decisions together. If the parents do not reach an agreement, then (explain) ______________________________________________________________________________________ ______________________________________________________________________________________ The final decision making regarding educational decisions shall be with _______________________ after consultation with _____________________________________________________________. MEDICAL AND DENTAL ARRANGEMENTS: Under A.R.S. §§ 25-403(H) and 25-408(L) each parent is entitled to have access to medical records of the children directly from the custodian of the records or from the custodial parent unless the Court finds that such access would seriously endanger the children's or the custodial parent's physical, mental, moral, or emotional health. Both parents have the right to authorize emergency medical treatment, if needed, and the right to consult with physicians and other medical practitioners. Both parents agree to advise the other parent immediately of any emergency medical/dental care sought for the children, to cooperate on health matters pertaining to the children and to keep one another reasonably informed. Both parents agree to keep each other informed as to names, addresses and telephone numbers of all medical/dental care practitioners. Parents will make major medical decisions together, except for emergency situations as noted above. If the parents do not reach an agreement, then (explain) _________________________________________________________________________ _________________________________________________________________________ The final decision making regarding medical issues shall be with ____________________________ . after consultation with RELIGIOUS EDUCATION ARRANGEMENTS: Each parent may take the children to a church or place of worship of his/her choice during the time that the children is/are in his/her care. The parents agree that the children may be instructed in the ___________________________ faith. Parents agree religious arrangements are not applicable to this plan. 5 custody-parenting plan.form Revised 08.03.04 American LegalNet, Inc. www.FormsWorkflow.com ADDITIONAL ARRANGEMENTS AND COMMENTS: Each parent will inform the other parent of any change of address and/or phone number in advance OR within of the change. Both parents agree that each will promptly inform the other of any emergency or other important event which involves the children. Parents will consult and agree with one another regarding any extra activity which affects the children's access to the other parent. Parents agree to consider each other as care-provider for the children before making other arrangements. Neither parent will relocate with the children more than ____ miles from ________ area without prior written consent of the other parent, or a court ordered parenting plan. Each parent agrees that all communications regarding the children will be between the parents and that they will not use the children to convey information or to set up visitation changes. Each parent agrees to encourage love and respect between the children and the other parent, and neither shall do anything which may undermine the other's relationship with the children. The parents agree to exert their best efforts to work cooperatively in future plans consistent with the best interests of their children and to amicably resolve such disputes as may arise. The parents agree that if either parent moves out of the area and returns at a later date, they will revert to using their most recent access arrangements prior to the move or the minimum Pima County Access/Visitation Guidelines until other arrangements can be negotiated. If either parent is unable to follow through with time-sharing arrangements involving the children, that parent will notify the other parent as soon as possible. If the parents wish to make a legal change to their existing court-ordered parenting plan, they will renegotiate the plan with a Conciliation Services mediator or private mediator prior to any court actions being initiated. Parents are advised that while a dispute is being resolved, neither parent shall deviate from this parenting plan, or act in such a way that is inconsistent with the terms of this agreement. 6 custody-parenting plan.form Revised 08.03.04 American LegalNet, Inc. www.FormsWorkflow.com JOINT CUSTODY AGREEMENT (IF APPLICABLE) JOINT CUSTODY AGREEMENT: If parents have selected the option of joint custody, the following will apply, subject to approval by the judge: The parents agree to review the terms of their joint custody agreement and make any necessary or desired changes every months from the date of this document. If they are unable to reach a mutual agreement regarding an issue they may request mediation through Conciliation Court or a private mediator of their choice. The parties understand that joint custody does not necessarily mean equal parenting time. Joint legal custody plans must meet the criteria set forth in A.R.S. § 25-403: a. b. c. d. e. f. The best interests of the child(ren) are served; Each parent's rights and responsibilities for personal care of the child(ren) and for decisions in the areas of education, health care and religious training are designated; A schedule of the physical residence of the child(ren), including holidays and school vacations is included; The plan includes a procedure for periodic review; The plan includes a procedure by which proposed changes, disputes and alleged breaches may be mediated or resolved, which may include the use of Conciliation Court or private counseling; The parties understand that joint custody does not necessarily mean equal parenting time. MOTHER __________________ DATE FATHER __________________ DATE Signature Signature BOTH SIGNATURES ARE NECESSARY FOR JOINT LEGAL CUSTODY. IF THIS IS NOT A JOINT LEGAL CUSTODY MATTER, PLEASE REMOVE THIS PAGE. 7 custody-parenting plan.form Revised 08.03.04 American LegalNet, Inc. www.FormsWorkflow.com