FAMILY COURT OF THE STATE OF NEW YORK COUNTY OF PRESENT: HON. FAMILY COURT JUDGE In the Matter of a Proceeding for Visitation under Article 6 of the Family Court Act Petitioner vs Respondent Docket No. Stipulated Temporary Order A Petition having been filed in the above matter on seeking custody of the infant child, , BORN , and the Petitioner having appeared personally and by his attorney, , ESQ. The Respondent having appeared personally and by her attorney, , ESQ. and the interests of the infant child having been represented by his Designated Law Guardian, ESQ., and the Parties through their respective Attorneys and the Designated Law Guardian having entered into this Stipulation for temporary relief during the pendency of the proceeding, and the Court having had due deliberation thereon, NOW, on motion of the Designated Law Guardian, it is ORDERED, that the Petitioner shall have access with the infant child of the parties as follows: and it is further ORDERED, that commencing following access with the infant child of the parties: , the Petitioner shall have the and it is further ORDERED, each party shall attempt to arrange their school/work schedule to maximize the amount of time spent with the infant child while in their respective access periods, and it is further ORDERED, that the above schedule of access may be modified, altered or changed upon the mutual agreement of the parties. American LegalNet, Inc. www.USCourtForms.com HON. FAMILY COURT JUDGE SO STIPULATED PETITIONER ATTORNEY FOR PETITIONER RESPONDENT ATTORNEY FOR RESPONDENT DESIGNATED LAW GUARDIAN American LegalNet, Inc. www.USCourtForms.com