STATE OF TENNESSEE COURT (Must be completed) COUNTY(Must be completed) PERMANENT PARENTING PLAN ORDER PROPOSED AGREED ORDERED BY THE COURT PLAINTIFF (Name: First, Middle, Last) _____________________________ Mother Father FILE N0. _______ (Must be completed) DIVISION _____ DEFENDANT (Name: First, Middle, Last) _____________________________ Mother Father The mother and father will behave with each other and each child so as to provide a loving, stable, consistent and nurturing relationship with the child even though they are divorced. They will not speak badly of each other or the members of the family of the other parent. They will encourage each child to continue to love the other parent and be comfortable in both families. This plan is a new plan. modifies an existing Parenting Plan dated __________________. modifies an existing Order dated _________________________. Child's Name Date of Birth I. A. RESIDENTIAL PARENTING SCHEDULE RESIDENTIAL TIME WITH EACH PARENT The Primary Residential Parent is ____________________________________ Under the schedule set forth below, each parent will spend the following number of days with the children: Mother _________ days Father _________ days B. DAY-TO-DAY SCHEDULE The G mother G father shall have responsibility for the care of the child or children except at the following times when the other parent shall have responsibility: From _______________________ to ______________________ Day and Time Day and Time every week every other week other: _____________________. 11/05/07 1 American LegalNet, Inc. www.FormsWorkFlow.com The other parent shall also have responsibility for the care of the child or children at the additional parenting times specified below: From _______________________ to ______________________ Day and Time Day and Time every week every other week other: _____________________. This parenting schedule begins ________________ or date of the Court's Order. Day and Time C. HOLIDAY SCHEDULE AND OTHER SCHOOL FREE DAYS Indicate if child or children will be with parent in ODD or EVEN numbered years or EVERY year: MOTHER FATHER New Year's Day Martin Luther King Day Presidents' Day Easter Day (unless otherwise coinciding with Spring Vacation) _______________________ _______________________ _______________________ _______________________ _______________________ _______________________ _______________________ _______________________ _______________________ _______________________ _______________________ _______________________ _______________________ _______________________ _______________________ _______________________ _______________________ _______________________ _______________________ _______________________ _______________________ Passover Day (unless otherwise _______________________ _______________________ Mother's Day Memorial Day (if no school)_______________________ _______________________ Father's Day th July 4 _______________________ Labor Day _______________________ Halloween _______________________ Thanksgiving Day & Friday_______________________ _______________________ Children's Birthdays Other School-Free Days _______________________ _______________________ Mother's Birthday _______________________ Father's Birthday Other: _______________________________________ coinciding with Spring Vacation) A holiday shall begin at 6:00 p.m. on the night preceding the holiday and end at 6:00 p.m. the night of the holiday, unless otherwise noted here_____________________________. D. FALL VACATION (If applicable) The day to day schedule shall apply except as follows:____________________________ _____________________________________________beginning _________________. E. WINTER (CHRISTMAS) VACATION The mother father shall have the child or children for the first period from the day and time school is dismissed until December _____ at ____ a.m./p.m. in odd-numbered years in even-numbered years every year. The other parent will have the child or children for the second period from the day and time indicated above until 6:00 p.m. on the evening before school resumes. The parties shall alternate the first and second periods each year. Other agreement of the parents: _____________________________________________ 11/05/07 2 American LegalNet, Inc. www.FormsWorkFlow.com F. SPRING VACATION (If applicable) The day-to-day schedule shall apply except as follows: ___________________________ _______________________________________________________________________ ___________________________________________beginning ___________________. G. SUMMER VACATION The day-to-day schedule shall apply except as follows: ___________________________ __________________________________________ beginning ____________________. Is written notice required? Yes No. H. If so, ________ number of days. TRANSPORTATION ARRANGEMENTS The place of meeting for the exchange of the child or children shall be: ______________ ______________________________________________________________________. Payment of long distance transportation costs (if applicable): mother father both equally. Other arrangements: _____________________________________________________. If a parent does not possess a valid driver's license, he or she must make reasonable transportation arrangements to protect the child or children while in the care of that parent. I. SUPERVISION OF PARENTING TIME (If applicable) Check if applicable Supervised parenting time shall apply during the day-to-day schedule as follows: Place: _______________________________________________________________. Person or organization supervising: ________________________________________. Responsibility for cost, if any: mother father both equally. J. OTHER The following special provisions apply : _______________________________________________________________________ _______________________________________________________________________ ______________________________________________________________________. II. A. DAY-TO-DAY DECISIONS DECISION-MAKING Each parent shall make decisions regarding the day-to-day care of a child while the child is residing with that parent, including any emergency decisions affecting the health or safety of a child. B. 11/05/07 MAJOR DECISIONS American LegalNet, Inc. www.FormsWorkFlow.com 3 Major decisions regarding each child shall be made as follows: Educational decisions Non-emergency health care Religious upbringing Extracurricular activities mother mother father father father father father joint joint