Fillable Printable Parenting Plan Agreement Form - Georgia
Fillable Printable Parenting Plan Agreement Form - Georgia
Parenting Plan Agreement Form - Georgia
Mother Father
(Initials) (Initials)
Parenting Plan Agreement (Approved June 3, 2008) Page 1 of 7
Provided by the DeKalb County Superior Court and the Atlanta Legal Aid Society
DEKALB COUNTY SUPERIOR COURT
STATE OF GEORGIA
,
Plaintiff,
vs.
,
Defendant.
Civil Action
Case Number
PARENTING PLAN AGREEMENT
This Parenting Plan is an agreement between
(referred to here as “Mother”) and (referred to here as
“Father”). This Plan supersedes any other plans concerning these child(ren) that may have been
submitted before this one by either or both parents.
1. DURATION OF PLAN
[Check and complete only one of the following two sentences, (a) or (b). Do not check both.]
9 (a) Temporary - This Plan is only a temporary parenting plan, and the parents intend for it to be
made a part of a Temporary Order by the Court, and to remain in effect until:
[If you chose (a), check and complete one of the following two
phrases about how long this Plan will last. Do not check both.]
9 further order of the Court.
9 the following date: .
9 (b) Permanent - This Plan is a permanent parenting plan. The parents intend for it to be made a
part of the final order and also any temporary orders entered about custody of their child(ren).
2. THE CHILDREN
The parents have _____ minor child(ren) together, as listed below:
Child’s Name Date of Birth
Mother Father
(Initials) (Initials)
Parenting Plan Agreement (Approved June 3, 2008) Page 2 of 7
Provided by the DeKalb County Superior Court and the Atlanta Legal Aid Society
3. PHYSICAL CUSTODY
[Check and complete only one of these, either (a), (b) or (c). Do not check more than one.]
(If you choose (b) or you want a custody arrangement that is not shown here, you should
consult an attorney for appropriate language to use in place of this section.)
G (a) The shall have sole physical custody of the child(ren).
G (b) The parents shall have joint physical custody of the child(ren), and a detailed plan of the living
arrangements of the child(ren) has been attached and is part of this parenting plan. The
__________________________ shall be the primary physical custodian of the child(ren).
G (c) The parents have agreed to split physical custody of the children, with one child (or more) living
with the Father and one child (or more) living with the Mother. The list below shows which child(ren)
will be living with which parent:
Child’s Name
Child’s Date of Birth
Parent with Physical Custody
4. LEGAL CUSTODY & DECISION-MAKING AUTHORITY
Each parent shall make decisions regarding the day-to-day care of a child while the child is
staying with that parent, including any emergency decisions affecting the health or safety of the child.
Major decisions regarding each child shall be made as follows:
[Check and complete only one of these, either (a) or (b).
Do not check more than one.]
(If you want a custody arrangement that is not shown here, you should
consult an attorney for appropriate language to use in place of this section.)
G (a) The shall have sole legal custody of the child(ren), and shall have
the authority to make the major decisions concerning the child(ren)’s education, extracurricular
activities, health care and religious upbringing.
G (b) The parents shall have joint legal custody of the child(ren). The parents shall consult each other
and try to reach a joint decision on all major issues concerning the child(ren)’s education,
extracurricular activities, health care and religious upbringing.
[To finish (b), check only one of the following, either (1) or (2). Do not check both.
If you choose (2), you must also complete the four lines below it,
by checking the appropriate boxes for the decision-maker.]
Mother Father
(Initials) (Initials)
Parenting Plan Agreement (Approved June 3, 2008) Page 3 of 7
Provided by the DeKalb County Superior Court and the Atlanta Legal Aid Society
However, if the parents are not able to reach a joint decision concerning one of these major issues, then
the final decision shall be made as follows:
G (1) the parent with physical custody shall make the final decision on the issue.
G (2) the parents shall divide the authority to make the final decisions as follows:
Education decisions 9 Mother 9 Father
Extracurricular activities 9 Mother 9 Father
Non-emergency Health decisions 9 Mother 9 Father
Religious upbringing 9 Mother 9 Father
5. VISITATION / PARENTING TIME
The shall have the right of reasonable visitation with the minor
child(ren), at any time by mutual consent of the parents, provided that the beginning and ending times of
the visitation have been put into writing and signed by both parents before the start of the visitation. In
arranging visitation, the parents shall take into consideration the requirements of the child(ren)’s school
work, their activities, and child care arrangements.
(a) If the parents cannot agree on specific visitation, the shall have the right to
visitation according to the schedule attached to this Parenting Plan Agreement as “Exhibit A.”
(b) The visiting parent shall notify the other parent at least 24 hours in advance of any scheduled
visitation if he/she does not intend to exercise that visitation opportunity.
(c) The visiting parent shall arrive to pick up the child(ren) for visitation within minutes of
the scheduled time, or shall lose that visitation opportunity.
(d) Transportation Arrangements -
[You must complete subsections (1), (2) and (3) of this section on transportation arrangements,
by making the appropriate choices, according to the instructions for each subsection.]
[In subsection (1) below,
check and complete only one of the choices, (A), (B), (C) or (D).
Do not check more than one.]
(1) Pick-up & Drop-off - Unless otherwise agreed by the parents in writing, the drop-off and
pick-up for visitation shall be at:
G (A) The custodial parent’s home
G (B) The child(ren)’s day care, school or day camp
G (C) The local airport, train, bus or public transit station
G (D) Other:
Mother Father
(Initials) (Initials)
Parenting Plan Agreement (Approved June 3, 2008) Page 4 of 7
Provided by the DeKalb County Superior Court and the Atlanta Legal Aid Society
[In (2) below, all of the sub-paragraphs (A)-(C) apply, unless you cross them out.
Use (D) to explain any special public transportation arrangements.]
(2) Children’s Unaccompanied Travel - If the child(ren) travel unaccompanied by a parent to
or from visitation by means of public transportation, including airline flight, train, bus or local
public transit, the following shall apply:
(A) The parent receiving the child(ren) shall make the transportation arrangements for
the child(ren) to travel to that parent, taking into consideration the safety, convenience,
cost and schedule of the child(ren) and the other parent;
(B) The parent sending the child(ren) shall get them to the local airport, train, bus, or
public transit station in a timely manner;
(C) The parent receiving the child(ren) shall arrange for them to be picked up at the
appropriate airport, train, bus or public transit station in a timely manner.
G (D)
.
[In (3) below, check and complete only one of the choices, (A), (B) or (C).
Do not check more than one.]
(3) Transportation Costs - The cost of transportation for the child(ren)’s visitation shall be
paid as follows:
G (A) The parent exercising visitation shall bear the transportation cost;
G (B) Each parent shall bear the cost of the child(ren)’s transportation when the
child(ren) are traveling to that parent, whether at the beginning or the end of the
child(ren)’s visitation;
G (C)
.
(e) Supervision
G (1) No supervision is required for the visitation.
G (2) The visitation shall be supervised as follows:
G (A) Supervision shall be done by .
G (B) The cost of supervision, if any, shall be paid by .
G (C) Supervision shall be required until:
G (i) the following date: .
G (ii) exercise of visitation the following number of times: .
G (iii) successful completion of:
G (a) anger management training .
G (b) substance abuse treatment .
G (c) alcohol abuse treatment .
G (d) other
.
G (iv) the youngest child reaches the age of .
Mother Father
(Initials) (Initials)
Parenting Plan Agreement (Approved June 3, 2008) Page 5 of 7
Provided by the DeKalb County Superior Court and the Atlanta Legal Aid Society
6. OTHER PARENTAL RIGHTS AND RESPONSIBILITIES
(a) Basic Principles — The parents recognize that the child(ren) have two parents who love them
and want to be involved in their upbringing. They recognize that a close and continuing parent-child
relationship and continuity in the child(ren)’s life will be in the child(ren)’s best interest. The parents
recognize that the child(ren)’s needs will change and grow as the child(ren) mature and the parents will
make an effort to parent that takes this into account so that future modifications to the parenting plan
are minimized. The parents recognize that the parent with physical custody will make day-to-day
decisions and emergency decisions while the child is residing with the parent. The parents agree that
the welfare of the child(ren) is most important and each agrees to encourage a feeling of affection and
respect between the child(ren) and the other parent. Neither parent shall involve the child(ren) in
actions or communications which would endanger the child(ren)’s opinion of the other parent.
(b) Addresses and Telephone Numbers — The parents agree to provide each other with their
current home address and telephone number, as well as a telephone number to call in case of
emergency; they also agree to notify each other of any change in the address or telephone numbers, at
least 30 days prior to the change.
(c) Telephone Communication — Neither parent shall do anything to interfere with the child(ren)
communicating with the other parent. Each parent shall have the right to call and talk to the child(ren)
when they are in the care of the other parent, up to one time each day, at the expense of the calling
parent. Calls shall be made between the hours of a.m. and p.m.
(d) Access to Information — The parents agree that both parents will have access to all of the
child(ren)’s records and information, including, but not limited to, education, health, extracurricular
activities, and religious communications.
Mother
appeared
before me on , 20 , and
said under oath that she had read this
agreement, understood it, and was signing it
voluntarily in my presence.
Notary Public
Father
appeared
before me on , 20 , and
said under oath that he had read this agreement,
understood it, and was signing it voluntarily in
my presence.
Notary Public
pro se Parenting Plan Agreement 6-4-08.wpd
Mother Father
(Initials) (Initials)
Parenting Plan Agreement (Approved June 3, 2008) Page 6 of 7
Provided by the DeKalb County Superior Court and the Atlanta Legal Aid Society
“Exhibit A” - Visitation Schedule
If the parents cannot agree on specific visitation, the shall have the
right to visitation according to the schedule below. To resolve any conflicts in the visitation provided under this
schedule, the holiday visitation provided under paragraph (b) shall have priority over the weekend and summer
visitation in paragraphs (a) and (c).
(a) Weekends — The first and third weekends of every month, from Friday at 6:00 p.m. until Sunday at 6:00
p.m. The first and third weekends shall be defined as the weekends containing the first and third Fridays
of the month.
[NOTE: When filling out the Holiday section, please check only one preference
and be careful not to check the same years for both parents.
For example, if you check Even-number years for Father to have Spring vacation,
then you should not also check Even-number years for Mother to have Spring vacation.]
(b) Holidays — The child(ren) shall spend holidays with each parent on the following schedule:
Holiday With Father With Mother
Spring vacation, from 6:00 p.m. on the day school lets
out for vacation, until 6:00 p.m. on the day before
the child(ren) return to school.
If none of the child(ren) is enrolled in school, this vacation
shall be for up to one week (seven consecutive
days) during the months of March or April;
provided that the visiting parent shall give written
notice of the chosen week to the other parent at
least 30 days prior to the beginning of this
visitation.
9 Even-number years
9 Odd-number years
9 Odd-number years
9 Even-number years
Easter weekend, 6:00 p.m. Friday to 6:00 Sunday,
provided that it does not conflict with Spring
vacation above.
9 Even-number years
9 Odd-number years
9 Odd-number years
9 Even-number years
Mother’s Day, from 9:00 a.m. to 6:00 p.m.
Not applicable Every year
Memorial Day weekend, 6:00 p.m. Friday to 6:00 p.m.
Monday
9 Even-number years
9 Odd-number years
9 Odd-number years
9 Even-number years
Father’s Day, from 9:00 a.m. to 6:00 p.m.
Every year Not applicable
Holiday With Father With Mother
Mother Father
(Initials) (Initials)
Parenting Plan Agreement (Approved June 3, 2008) Page 7 of 7
Provided by the DeKalb County Superior Court and the Atlanta Legal Aid Society
Fourth of July, from 10:00 a.m. to 10:00 p.m.
9 Even-number years
9 Odd-number years
9 Odd-number years
9 Even-number years
Labor Day weekend, 6:00 p.m. Friday to 6:00 p.m.
Monday
9 Even-number years
9 Odd-number years
9 Odd-number years
9 Even-number years
Thanksgiving weekend, 6:00 p.m. Wednesday to 6:00
p.m. Sunday
9 Even-number years
9 Odd-number years
9 Odd-number years
9 Even-number years
First part of Christmas vacation, from 6:00 on the day
school lets out for vacation, until 12:00 noon on
December 25 .
th
If none of the child(ren) is enrolled in school, this visitation
shall be from 6:00 p.m. on December 20 until
th
12:00 noon on December 25 .
th
9 Even-number years
9 Odd-number years
9 Odd-number years
9 Even-number years
Latter part of Christmas vacation, from 12:00 noon on
December 25 to 6:00 p.m. on the day before the
th
child(ren) return to school.
If none of the child(ren) is enrolled in school, this visitation
shall be from 12:00 noon on December 25 until
th
6:00 p.m. on January 1 .
st
9 Even-number years
9 Odd-number years
9 Odd-number years
9 Even-number years
(c) Summer Vacation — weeks during the child(ren)’s summer vacation from school.
However, if none of the child(ren) is enrolled in school, this summer visitation shall be taken during the
months of June, July and August, until such time as one of the child(ren) begins to attend school. The
weeks may be taken consecutively or non-consecutively, but shall be taken in increments of at least seven
(7) consecutive days. The parent with visitation shall give written notice of the chosen weeks to the
other parent on or before March 1 (so that both parents will have ample time to make camp and child
st
care arrangements for the summer).
