IN THE CIRCUIT COURT OF HAMILTON COUNTY,TENNESSEE ____________________________ PARENT DOCKET # ___________ ____________________________ PARENT DIVISION #___________ ORDER APPROVING PARENTING PLAN It is ORDERED, ADJUDGED AND DECREED that the Parenting Plan attached is adopted and approved as an Order of this Court. All costs are taxed to the Joint Petitioners. This __________ day of ______________________, 20 ____. ________________________________________________ JUDGE ________________________________ SIGNATURE - PARENT ____________________________________ SIGNATURE - PARENT NAME:_________________________ NAME: _____________________________ ADDRESS: _____________________ ADDRESS: _________________________ _______________________________ ___________________________________ 1 American LegalNet, Inc. www.USCourtForms.com