This form is approved by the Illinois Supreme Court and is required to be accepted in all Illinois Circuit Courts. DV - PP 108.1 Page 1 of 7 (0 4 /1 8 ) STATE OF ILLINOIS , PARENTING PLAN (check the correct box) For Court Use Only CIRCUIT COURT Petitioner's Parenting Plan COUNTY Respondent's Parenting Plan Agreed Parenting Plan C ourt 's Parenting Plan Instructions Directly above, enter the county where you filed this case. Enter the full name of Petitioner, Respondent, and the case number as listed on the Petition for Dissolution of Marriage/Civil Union (Divorce with Children). P etitioner ( First, middle, last name ) v. Respondent ( First, middle, last name ) Case Number Check the box for whose Parenting Plan this is. 1 . Parent I nformation: Do not complete 1a if Petitioner's information is protected because of domestic violence or abuse. a. Petitioner 's contact information : Name : First Middle Last Address : Street Address , Apt. City State ZIP Phone number : Email : P etitioner is employed : Yes No Employer name : Employer address : Street Address City State ZIP Employer phone number : Do not complete 1b if Respondent's information is protected because of domestic violence or abuse. b. Respondent 's contact information : Name : First Middle Last Address : Street Address , Apt. City State ZIP If this is an agreement, enter initials on each page. Phone number : Email : Respondent is employed : Yes No Petitioner's initials : Employer name : Respondent's initials : American LegalNet, Inc. www.FormsWorkFlow.com Enter the Case Number given by the Circuit Clerk: DV - PP 108.1 Page 2 of 7 (0 4 /1 8 ) Employer address : Street Address City State ZIP For 1c, if you plan to move, review Section 10 (Relocation of Minor Children) to see if that Section applies to your move. Employer phone number : c. If a parent plans to move, they must give the other parent at least 60 days notice, or notice as soon as possible of (1) the intended move date ; and (2) the new address unless the address is protected because of domestic violence or abuse. In 2, list the name and birth date for the minor children of the parties. This plan is only for children who are younger than 18. 2. This Parenting Plan is for the F ollowing C hildren B orn to or A dopted by the P arties: Name Date of Birth 1 . 2 . 3 . I have listed additional minor children on the attached Additional Minor Children form. 3 . Rights and R esponsibilities of B oth P arents: Each parent must : a. Make day - to - day decisions for the children when they have them, such as routine discipline, minor medical treatment, curfew, chores, and hygiene. b. Give the other parent the name, address, and telephone number of any health care provider for the children. c. Have access to the children's school records, child care information, extracurricular activity schedules, and medical, dental, and mental health records unless access is denied by the court. d . N otify the other parent as soon as possible of emergencies, health care, travel plans, or other significant child - related issues. 4. Significant Decision Making (check only one option for each category) : a. Education decisions (includes choice of schools and tutors) will be made by: Both parents Petitioner Respondent b. Health decisions (includes medical, dental, and psychological decisions) will be made by: Both parents Petitioner Respondent c. Religious decisions will be made by: Both parents Petitioner Respondent Reserved d. Extracurricular/recreational activities decisions will be made by: Both parents Petitioner Respondent In 5a, decide which of the 3 options is best and then check the box in front it. Complete the rest of the information for your choice. 5. Parenting Time : a. Time D uring Monday 226 Friday 1. Petitioner Respondent will have the children Monday 226 Friday except for the following: Petitioner Respondent will have time with the children on: Monday Tuesday Wednesday Thursday Friday from a.m. p.m. until a.m. p.m. This will happen: every week every other week Petitioner's initials : Respondent's initials : American LegalNet, Inc. www.FormsWorkFlow.com Enter the Case Number given by the Circuit Clerk: DV - PP 108.1 Page 3 of 7 (0 4 /1 8 ) 2. Petitioner Respondent will have time with the children during Monday 226 Friday on: 3. Petitioner Respondent will have n o time during Monday 226 Friday b. Time D uring the Weekend In 5b, decide which of the 3 options is best and then check the box in front of it. Complete the rest of the information for your choice. 1. Petitioner Respondent will have time with the children e very other weekend every weekend from (day) at a.m. p.m. to (day) at a.m. p.m. 2. Petitioner Respondent will have time with the children during the weekend on: 3. No weekend time The children will be with the other parent all other weekend time. In 5c, make a schedule for parenting time during the holidays. First read both options 1 and 2 and pick either option 1 or 2. If you want holidays that are not listed, you can write the holidays you want to add on the blank line in 1 or in the 223other224 boxes in option 2. In option 2, enter the start and end time for each holiday and check which parent has the holiday in even years and which has it in odd years. c . Holiday Schedule (check only one) 1 . The holidays shall be divided between the parents as follows: In even - numbered years, Petitioner shall have the minor children on Group A holidays and Respondent shall have the minor children on Group B holidays. In odd - numbered years, Petitioner shall have the minor children on Group B holidays and Respondent shall have the minor children on Group A holidays. Group A Holidays: Group B Holidays: Thanksgiving Day 4 th of July Christmas Eve Labor Day New Year's Eve Christmas Day 2 . The holidays shall be divided between the parents as follows: Holiday Time (include a . m . /p . m . ) Even Years Odd Years Start Time End Time New Year222s Day Pet. Res. Pet. Res. Mother222s Day Pet. Res. Pet. Res. Memorial Day Pet. Res. Pet. Res. Father222s Day Pet. Res. Pet. Res. July 4 th Pet. Res. Pet. Res. Labor Day Pet. Res. Pet. Res. Halloween Pet. Res. Pet. Res. Thanksgiving Day Pet. Res. Pet. Res. Christmas Eve Pet. Res. Pet. Res. Christmas Day Pet. Res. Pet. Res. New Year's Eve Pet. Res. Pet. Res. Other: Pet. Res. Pet. Res. Other: Pet. Res. Pet. Res. Other: Pet. Res. Pet. Res. Petitioner's initials: Other: Pet. Res. Pet. Res. Respondent's initials: Other: Pet. Res. Pet. Res. American LegalNet, Inc. www.FormsWorkFlow.com Enter the Case Number given by the Circuit Clerk: DV - PP 108.1 Page 4 of 7 (0 4 /1 8 ) In 5d , choose 1, 2 or 3. If you choose 3, you must write in the schedule you want. d . School Spring Break 1. No specific s pring break schedule (follow the regular parenting schedule) 2. In even - numbered years, Petitioner shall have the entire s pring break. In odd - numbered years, Respondent shall have the entire spring break. 3. Other : In 5e, choose 1, 2 or 3. If you choose 3, you must write in the schedule you want. e . School Summer Break 1. No specific summer break schedule (follow the regular parenting schedule) 2. Each par ent shall have weeks in the s ummer : In even - numbered years, Petitioner shall have first ch oice of dates. In odd-numbered years, Respondent shall have first choice of dates. Each parent will notify the other in writing by May 1st each year of the weeks they wish to have summer parenting time. 3. Other : In 5f, choose 1, 2 or 3. If you choose 3, you must write in the schedule you want. f . School Winter Break 1. No specific w inter break schedule (follow the regular parenting schedule) 2. Each parent shall have one - half of the w inter break: In even - numbered years, Petitioner shall have the first half and Respondent shall have the second half. In odd-numbered years, Respondent shall have the first half and Petitioner shall have the second half. 3. Other : g. Conflict If there is conflict , the priority will be: 1st Priority: Holiday 2nd Priority: School Break 3rd Priority: Regular Weekday/Weekend For example, it is yo ur weekend to have the children , but Saturday is July 4 th and it is the other If