SUPERIOR COURT OF CALIFORNIA COUNTY OF SAN FRANCISCO ) ) ) ) ) ) ) ) ) ) ) ) ) ) ) Petitioner, vs. Respondent. Other Parent: Case No.: CHILD CUSTODY AND VISITATION STIPULATION AND ORDER THE PARTIES HEREBY STIPULATE AND AGREE as follows: CHILDREN: NAME AGE DATE OF BIRTH a. Legal custody shall be: Joint to: Sole to: See attachment As previously ordered on b. Physical custody shall be: Joint to: Sole to: See attachment As previously ordered on . Legal custody to: . Physical custody to: c. The parents will spend time with their children as follows: See attachment As previously ordered on . Page 1 of 4 American LegalNet, Inc. www.FormsWorkflow.com Petitioner: Respondent: Other Parent: Case No.: CHILD CUSTODY AND VISITATION STIPULATION AND ORDER d. See attachment for parties' agreement regarding transportation for visits and places for exchange. e. The minor child(ren) must not be removed by except with prior written consent of the other party or by Order of the Court: From the State of California From the following: f. g. The parties agree to further mediation on at . The parties agree to continue the hearing date currently scheduled on to . The parties agree to vacate the hearing date, currently scheduled on . h. Page 2 of 4 American LegalNet, Inc. www.FormsWorkflow.com Petitioner: Respondent: Other Parent: Case No.: CHILD CUSTODY AND VISITATION STIPULATION AND ORDER We have each read, or have had read to us, this Stipulation and Agreement, including any attachments. We understand what is contained in this Stipulation, have agreed to its terms without coercion or duress, and request that the Court make our agreement an order of the Court. We understand that willful failure to comply with the provisions of this order will be a contempt of Court and may result in a fine and/or imprisonment. We waive any further notice of this Order. We agree that a commissioner sitting as a temporary judge may issue this order. Dated: Dated: Petitioner or Other Party Respondent Dated: Dated: Attorney for Petitioner or Other Party Attorney for Respondent Dated: Attorney for Minor ORDER THE COURT FINDS AND ORDERS: This Court has jurisdiction over the minor child/children as California is the child's home state and the United States is the country of habitual residence. The foregoing Stipulation is hereby made an Order of the Court. Dated: JUDGE OF THE SUPERIOR COURT Page 3 of 4 American LegalNet, Inc. www.FormsWorkflow.com Petitioner: Respondent: Other Parent: Case No.: CHILD CUSTODY AND VISITATION STIPULATION AND ORDER ATTACHMENT Print Form Clear Form Page 4 of 4 American LegalNet, Inc. www.FormsWorkflow.com To protect your privacy, always clear a form after you are finished printing.