IN THE CIRCUIT COURT THIRD JUDICIAL CIRCUIT MADISON COUNTY, ILLINOIS Petitioner vs. NO OP Respondent AFFIDAVIT ACCEPTING RESPONSIBILITY TO SUPERVISE VISITATION UNDER COURT ORDER I, , accept the responsibility to supervise the visitation granted by the Court in this case and understand that I will be held accountable by the Court if I violate the following conditions imposed on me as Supervisor for such visitation. 1. 2. 3. 4. I will be present at all times during the Visitations and I agree to appear in Court concerning visitation when required to do so by the Court. I agree that the visitations may take place [ ] in my home [ ] in some suitable public place [ ] in the home of the Respondent. No corporal punishment or abusive behavior will be tolerated during any visitations. I understand that I can be held in contempt of Court if I do not faithfully perform the responsibility to supervise visitation as set forth herein. Date Supervisor of Visitation (sign here) I attest that the Affiant appeared before me this date with proof of his/her identity and acknowledged that he/she had read this Affidavit and agreed to faithfully perform in accord with all the matters set forth herein. Date: Notary Public/Judge County, State of 2002 © American LegalNet, Inc.