J DF 1113 R 2 /1 8 PARENTING PLAN Page 1 of 1 0 District Court Juvenile Court County, Colorado Court Address: In re: The Marriage of: Parental Responsibilities concerning: Petitioner: and Co - Petitioner/Respondent: COURT USE ONLY Attorney or Party Without Attorney (Name and Address) : Phone Number: E - mail: FAX Number: A tty. Reg. #: Case Number: Division Courtroom PARENTING PLAN You must submit to the Court some form of written Parenting Plan addressing all of the issues which are relevant to the facts of your case. The written Parenting Plan must contain provisions for the allocation of parental responsibilities including decision - making and parenting time. You may use this form as a Paren ting Plan to submit to the Court. This standard form does not include every possible issue that may be relevant to the facts of your case. A section entitled "Other Terms" is available for you to identify unique issues that you may have in your case. If you need more space than is provided, attach additional pages to the form. Any additional pages must include signatures. To promote agreement among parties where the children are involved , parties may jointly create a written P arenting P lan. If you do not enter into a joint written Parenting P lan, you must each file your own written Parenting Plan. Without an agreement, the Court must enter its own plan which may be a plan filed by one of the parties or may be entirely different. Wheth er the Court approves your plan or enters its own, the Parenting Plan will become a Court Order. This is a : Full Joint Parenting Plan ( we agree to everything and the plan is signed by both parties . ) Partial Joint Parenting Plan ( we agree to some things and the plan is signed by both parties . ) Parenting Plan prepared by one party (no agreement). If this is a partial joint Parenting Plan or a Parenting Plan prepared by one party, please complete and file with the Court JDF 1129 - Pretrial Statem ent to identify issues that you have not agreed on. This is a required form if you have any issues that you cannot agree on . A hearing may be necessary to address the issues. Father Mother Other Party (state relationship to child(ren) The Co - Father Mother Other Party ( state relationship to child(ren) American LegalNet, Inc. www.FormsWorkFlow.com J DF 1113 R 2 /1 8 PARENTING PLAN Page 2 of 1 0 The child(ren) are: Full Name of Child Present Address Sex Date of Birth Section A : Allocation of Parental Responsibilities (Decision - making) 1. The parties understand that day - to - day decisions such as minor training or correction, minor medical and dental care, curfew, chores, allowance, clothing, hygiene, etc. will be made by the par ty who has the child(ren) at the time such decisions are necessary. 2. Each par ty will inform the other par ty of any changes with the ir address and/or phone number s in advance. 3. Both par ties will provide the names, addresses, and telephone numbers of all medical, dental, and mental health care providers. Either party may authori ze emergency care, but if possible both parties agree to contact the other par ty first. 4. Unless otherwise ordered by the Court for good cause shown , state law provides that both parties have access to the records of the child(ren) including school, medical, dental , and mental health records, pursuant to 24714 - 10 - 123.8, C.R.S. 5. : Mother Father Other Party We have identified below whether the major decisions (Education, Medical/Dental Mental Health, and Religious) will be joint or will be made b y one party. If major decision will be made by someone other tha n one of the parents, Other Party . Note: The Other Party must be named in the case as the Petitioner, Co - Petitioner/Respondent or an Intervenor to be included in this Parenting Plan. Type of Major Decision - Making Joint Mother Father Other Party Educational , if needed specify: Medical/Dental/Mental Health, if needed specify: Religious, if needed specify: Extracurricular and Recreational Activities, if needed specify: Other (please identify): Other (please identify): Other (please identify): Other (please identify): American LegalNet, Inc. www.FormsWorkFlow.com J DF 1113 R 2 /1 8 PARENTING PLAN Page 3 of 1 0 Section B : Allocation of Parental Responsibilities ( Parenting Time ) Par ties are encouraged to create a Parenting Plan that meets the needs of the child(ren) and individual needs of their family. or provide a n attachment to this P arenting P lan . If a par ty fails to comply with a provision of this plan, child support is not affected , unless the Child Support Order is modified and then only with respect to future payments of child support . 1. Weekday and Weekend Schedule during the School Year The child(ren) will be in the care of the Mother . List the days of the week and times. The child(ren) will be in the care of the Father. List the days of the week and times. T he child(ren) will be in the care of (name of Other Party) . Note: This party must be named in the case as the Petitioner, Co - Petitioner/Respondent or an Intervenor to be included in this Parenting Plan. Do not list babysitters and day care providers as the Other Party. List the days of the week and times. Transportation and drop - off/pick - up arrangements will be as follows: American LegalNet, Inc. www.FormsWorkFlow.com J DF 1113 R 2 /1 8 PARENTING PLAN Page 4 of 1 0 2. Summer Schedule The weekday and weekend schedule above will apply for all 12 calendar months with no specific changes during the summer. o r During the summer months, the child(ren) will be in the care of the Mother . List the days of the weeks and times. During the summer months, the child(ren) will be in the care of the Father . List the days of the weeks and times. The child(ren) will be in the care of (name of Other Party). Note: This party must be named in the case as the Petitioner, Co - Petitioner/Respondent or an Intervenor to be included in this Parenting Plan. Do not list babysitters and day care providers as the Other Party. List the days of the week and times. Transportation and drop - off /pick - up arrangements will be as follows : 3. Hol idays and Special Oc c asions The following schedule will take priority over the schedules in Sections 1 and 2 . Please check all that apply , place the name of the party with whom the children will be spending the holiday in the appropriate box (odd/even/all years), and indicate the time and place of exchange. If a box is not checked, the regular parenting time schedule will apply to that holiday event. American LegalNet, Inc. www.FormsWorkFlow.com J DF 1113 R 2 /1 8 PARENTING PLAN Page 5 of 1 0 Event Odd years Even years All Years Time & Place of exchange Spring Break Easter Memorial Day/Weekend July 4 th Labor Day/Weekend Halloween Thanksgiving Day/Break Christmas Eve Christmas Day Week 1 of Winter Break Week 2 of Winter Break Other (Identify) Other (Identify) Other (Identify) Other p arenting t ime a rrangements: 4. Number of Overnights: Based upon the foregoing schedule(s), Mother will have total overnights per year and Father will have total overnights per year. Note: T hese two numbers must equal 365 . 5. Telephone Access Each par ty hours. Other: 6. Travel and Vacation Plans The parties agree that should either of them require out - of - state or any type of overnight travel with the child(ren), each party will inform the other party of such travel and vacation plans, including notice and contact information. Other: American LegalNet, Inc. www.FormsWorkFlow.com J DF 1113 R 2 /1 8 PARENTING PLAN Page 6 of 1 0 Section C: Re location Relocation refers to moving the other par ty are substantially changed requiring a modification of allocation of parental responsibilities (decision - making and parenting time) . The parties understand that a fter the Decree or Final Order is issued , if a party wants to relocate, he/she must file a Motion with the Court, pursuant to 24714 - 10 - 12 9 , C.R.S. and obtain court permission to relocate , unless the parties have submitted to the Court a written agreement/stipulation (with verified signatures of all parties) allowing one of the parties to relocat