IN THE DISTRICT COURT OF ______________________ COUNTY, KANSAS In the Matter of: ________________________________ (Name of Spouse Filing) and ________________________________ (Name of Other Spouse) Case No. _____________________ PARENTING PLAN This Parenting Plan is Proposed by Father temporary permanent. Proposed by Mother Agreed by Mother and Father Developed by the Court. After due consideration, the Court enters the following Parenting Plan that serves the child(ren)’s best interests on this _____ day of ________________________, 20_____: Section I. GENERAL INFORMATION This parenting plan applies to the following children: Full Name of Child Gender Birth Date (Month/Yr) and Age M F __________________________ M F __________________________ M F __________________________ M F __________________________ M F __________________________ Section II. Legal Custody (Decision-Making) A. Joint Legal Custody. Mother and Father shall have joint legal custody of their minor child(ren). "Joint legal custody" means that both parents have equal rights to participate in, contribute to, and have responsibility for matters of health and education in their child(ren)'s best interests. Neither parent's rights are superior to the other parent's rights, and they should cooperate to determine what is in their children’s best interests. B. Sole Legal Custody. Joint legal custody is not in the child(ren)’s best interests. “Sole legal custody” means that the parent granted sole legal custody has the primary right to decide matters of health and education in the child(ren)'s best interests. The parent not granted sole legal custody may make emergency decisions affecting the child(ren)’s health or safety when the child(ren) are in that parent's physical care and control. The grant of sole legal custody to one parent does not deprive the other parent of access to information regarding the child(ren) unless the court specifically orders, stating the reasons for that determination. 1. Sole legal custody is granted to a. Rev. 01/12 ©KSJC Mother Father for the following reasons: Agreement of the parents. 1 of 5 American LegalNet, Inc. www.FormsWorkFlow.com b. The other parent is unable or should not be allowed to exercise decision-making because: _______________________________________________________________________________. c. There is a danger to the child(ren) because:_____________________________________ ______________________________________________________________________________. d. Other: __________________________________________________________________ ________________________________________________________________________________. 2. Restriction of Information Regarding the Child(ren) to Non Legal Custodian. The Mother Father is restrained from accessing the child(ren)’s health, educational and other personal information because of the following specific reasons :_____________________________________ _____________________________________________________________________________________. Section III. Parenting Time Schedule. Mother shall have parenting time beginning at ________ am pm ending at ________ am pm as follows: Mother’s Weekday Schedule: ____________________________________________________________ ___________________________________________________________________________________________ Mother’s Weekend Schedule: ____________________________________________________________ ____________________________________________________________________________________________ Mother’s Other Times: _________________________________________________________________ ____________________________________________________________________________________________ Father shall have parenting time beginning at ________ am pm ending at ________ am pm as follows: Father’s Weekday Schedule: ____________________________________________________________ ____________________________________________________________________________________________ Father’s Weekend Schedule: ____________________________________________________________ ____________________________________________________________________________________________ Father’s Other Times: __________________________________________________________________ ____________________________________________________________________________________________ MOTHER Even/Odd/Every HOLIDAY PARENTING SCHEDULE FATHER Even/Odd/Every New Year's Day: From _____________(day) at ______ (time) until ___________________(day) at ______ (time) Memorial Day/weekend: From __________________(day) at ______ (time) until ________________(day) at ______ (time) Mother’s Day: From _______________(day) at ______ (time) until ___________________(day) at ______ (time) Rev. 01/12 ©KSJC 2 of 5 American LegalNet, Inc. www.FormsWorkFlow.com MOTHER Even/Odd/Every HOLIDAY PARENTING SCHEDULE FATHER Even/Odd/Every Father’s Day/Weekend: From ___________________(day) at ______ (time) until ________________(day) at ______ (time) Independence Day: From ________________(day) at ______ (time) until ___________________(day) at ______ (time) Labor Day/weekend: From ________________(day) at ______ (time) until ___________________(day) at ______ (time) Halloween: From __________________(day) at ______ (time) until ___________________(day) at ______ (time) Thanksgiving Day/weekend: From ________________(day) at ______ (time) until ________________(day) at ______ (time) Winter Break: From ________________(day) at ______ (time) until ____________________(day) at ______ (time) Winter Break: From ________________(day) at ______ (time) until ____________________(day) at ______ (time) Other: From __________________(day) at ______ (time) until ______________________(day) at ______ (time) Other: From __________________(day) at ______ (time) until ______________________(day) at ______ (time) Other: From __________________(day) at ______ (time) until ______________________(day) at ______ (time) Other: From __________________(day) at ______ (time) until ______________________(day) at ______ (time) Other: From __________________(day) at ______ (time) until ______________________(day) at ______ (time) Other: From __________________(day) at ______ (time) until ______________________(day) at ______ (time) Other: From __________________(day) at ______ (time) until ______________________(day) at ______ (time) Section IV. Dispute Resolution Process Disputes between the parents, other than about child support, shall be submitted to: Mediation by:_____________________________________________________________________________. The following dispute resolution method: _______________________________________________________. Rev. 01/12 ©KSJC 3 of 5 American LegalNet, Inc. www.FormsWorkFlow.com Section V. Military Deployment, Mobilization, or Unaccompanied Tour Mother Father is a military servicemember and the following shall apply upon notice of deployment, mobilization, temporary duty, or unaccompanied tour: 1. A parent receiving deployment, mobilization, temporary duty or unaccompanied tour orders from the military shall be considered a “deployed parent.” 2. The absence, relocation or failure to comply with a parenting order by a “deployed parent,” shall not by itself constitute a material change in circumstances to make any permanent change to the parenting plan. 3. Any court order limiting previously ordered parenting rights due to the parent's deployment, mobilization, temporary duty, or unaccompanied tour shall state that event as its basis and shall constitute only a “temporary order.” 4. The nondeploying parent shall provide the court and deployed parent at least 30 days advance written notice of any change of address or telephone number. 5. The nondeploying parent shall reasonably accommodate the deployed parent’s leave schedule. 6. The nondeploying parent shall facilitiate telephone and electronic communication between the children and the deployed parent. 7. The deployed parent shall provide the nondeployed parent with timely information about the deployed parent’s anticipated deployment, leave during deployment, and release from deployment. 8. During deployment, mobilization, temporary duty, or unaccompanied tour, the parents shall make decisions about the children by the following methods: ______________________________________________________ __________________________________________________________________________________________. 9. During deployment, mobilization, temporary duty, or unaccompanied tour, the children shall live with: Mother Father Other ______________________________________________________________and the deployed parent shall have the following parenting time with the child when available: __________________ ___________________________________________________________________________________________ ___________________________________________________________________________________________ __________________________________________________________________________________________. Section VI. Address-Change A. Mother and Father shall each notify the other parent of any address change in writing no less than 30 days before changing address by sending written notice to the other parent by certified mail – restricted delivery, return receipt requested, at that other parent’s last known address. B. Mother and Father shall each notify the other parent of any plan to remove any child(ren) from the State of Kansas for more than 90 days by sending written notice to the other parent by certified mail – restricted delivery, return receipt requested, at that other parent’s last known address. C. A parent is not required to give written notice of removal to the other parent under either (A) or (B) if the other parent has been convicted of a crime specified in Article 54 (crimes against persons), Article 55 (sex offenses), or Rev. 01/12 ©KSJC 4 of 5 American LegalNet, Inc. www.FormsWorkFlow.com Article 56 (crimes affecting family relationships and children) of Chapter 21 (Crimes and Punishments) of the Kansas Statutes Annotated to which the child(ren) was the victim. Section VII. Other Issues Additional issues which the court enters into this parenting plan: _____________________________________ _________________________________________________________________________________________ _________________________________________________________________________________________. Section VIII. Signatures: Required if agreed upon by the parties. Mother Father Name: _____________________________________ (Signature) Name: _______________________________________ (Signature) Name: _____________________________________ (Printed) Name: _______________________________________ (Printed) Address: ___________________________________ Address: _____________________________________ ___________________________________ _____________________________________ ___________________________________ _____________________________________ Telephone: _________________________________ Telephone: ___________________________________ Date Signed: ________________________________ Date Signed: __________________________________ Attorney (if any): ____________________________ Attorney (if any): _______________________________ (Signature) (Signature) Attorney (if any): ____________________________ Attorney (if any): _______________________________ (Printed) (Printed) APPROVED THIS _____DAY OF ___________________, 20______. ______________________________________ DISTRICT JUDGE Rev. 01/12 ©KSJC 5 of 5 American LegalNet, Inc. www.FormsWorkFlow.com