SDSC PR-101(Rev. 9-99) STIPULATION FOR VISITATION AND ORDER DIRECTING VISITATION ATTORNEY OR PARTY WITHOUT ATTORNEY (Name, state bar number, and address) : TELEPHONE NO.: FAX NO.: ATTORNEY FOR (Name): FOR COURT USE ONLY SUPERIOR COURT OF CALIFORNIA, COUNTY OF SAN DIEGO CENTRAL COURTHOUSE, 1100 UNION ST., SAN DIEGO, CA 92101 MADGE BRADLEY BLDG., 1409 4TH AVE., SAN DIEGO, CA 92101 NORTH COUNTY DIVISION, 325 S. MELROSE DR., VISTA, CA 92081 IN THE MATTER OF THE GUARDIANSHIP OF THE PERSON OF MINOR(S) STIPULATION FOR VISITATION AND ORDER DIRECTING VISITATIONCASE NUMBER P The issue of visitation with the minor(s) having come before the court, the parties have stipulated and agree to be bound by the stipulation as set forth below. This stipulation must be signed by the guardian(s). Visitation is agreed and stipulated to as follows: Continued on attachment: Other stipulations: Date: Guardian (print name) Signature Date: Guardian (print name) Signature Date: Print name Signature Date: Print name Signature IT IS SO ORDERED. Date: Signature follows attachment American LegalNet, Inc. www.FormsWorkFlow.com