Sample Parenting Plan Form

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IN THE DISTRICT COURT OF _________________________ COUNTY, KANSAS

__________________________DIVISION/DEPARTMENT

_______________________________________

Petitioner/Plaintiff

and/vs

< Case No.______________

_______________________________________

Respondent/Defendant

 TEMPORARY  PERMANENT PARENTING PLAN

Parenting Plan submitted by:  Mother  Father  Both parents

 Other:_________________________________________

as:

 a proposed plan

 an agreed plan by both parties.

I. GENERAL INFORMATION

This parenting plan applies to the following children:

Full Name of Child Gender Birth Date and Age

 M  F _________________

II. Legal Custody (Decision Making)(Required Provision)

 2.1 Joint Legal Custody. Both parents are fit and proper persons to have joint responsibility

for the care of the minor child(ren). It is in the best interest of the child(ren) that the parties jointly share

in the care of the child(ren). The term "joint legal custody" means that both parents have equal rights and

responsibilities regarding their child(ren) and that neither parent's rights are superior to the other

parent's.

 2.2 Sole Legal Custody. Joint legal custody is not in the best interests of the child(ren). The

parent granted sole legal custody has the primary right to decide matters regarding matters of health,

education and welfare in the child(ren)'s best interests. The parent not granted sole legal custody may

make emergency decisions affecting the health or safety of the child(ren) when the child(ren) is in that

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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 shall so order, stating the

reasons for that determination.

Sole legal custody is granted to  Mother  Father for the following reasons:

 Agreement of the parents.

 The other parent is unable or should not be allowed to exercise any decision- making.

 There is such a high level of disagreement between the parents that one parent needs to be

designated as the primary decision maker for the best interests of the child(ren) to be served.

 There is a danger to the child(ren).

 2.21 Restriction of Information Regarding the Child(ren) to Non Legal Custodian.

The  Mother  Father is restrained from access to information regarding the child(ren) for

the following specific reasons (such as agreement of the parties or serious danger to the

child(ren) stating the specific reason for a determination that the non-custodial parent should

be restricted from access to information regarding the

child(ren):__________________________________________________________________

Section III. Parenting Time Schedule (Required Provision)

 3.1 Parenting Time for  Mother  Father:

 Weekdays: From ______________________________________ at ___.m. to

______________________________________ at ___.m. starting on the

_____ day of ___________________, 200__.

 Weekends: Every ________________________________________ weekend from

______________________________________ at ___.m. to

______________________________________ at ___.m. starting on the

_____ day of ___________________, 200__.

 Holidays:  First half of winter School Break governed by the calendar of Unified

School District No. _________ located in _____________________

from__________________ at ______ ___.m. to _________________

at ___________ ___.m. during  even years  odd years, starting

200__.

 Second half of winter School Break governed by the calendar of Unified

School District No. __________ located in _____________________

from ________________ at _______ ___.m. to________________at

___________ ___.m. during  even years  odd years, starting 200 .

 Spring Break governed by the calendar of Unified School District No._______

located in _____________________ from ___________________

at _______ ___.m. to _____________________at

___________ ___.m. during  even years  odd years, starting in

200___.

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 Memorial Day from ___________________ at _______ ___.m. to

_____________________at ___________ ___.m. during

 even years  odd years, starting in 200___.

 4

th

of July from ___________________ at _______ ___.m. to

_____________________at ___________ ___.m. during

 even years  odd years, starting in 200___.

 Labor Day from ___________________ at _______ ___.m. to

______________________at ___________ ___.m. during

 even years  odd years, starting in 200___.

 Thanksgiving Day from ___________________ at _______ ___.m.

to _____________________at ___________ ___.m. during

 even years  odd years, starting in 200___.

 Other:_________________________________________________________

_________________________________________________________________

 3.2 Parenting Time for  Mother  Father

 This parent shall have all weekdays and weekends not specifically set forth above.

 This parent shall have all holidays not specified above.

 Other: ________________________________________________________________

_____________________________________________________________________________

 3.3 Priorities.

 Holidays and special days specified above will have precedence over weekday and weekend

visitation.

 Holidays have priority over other special occasions

 There shall be no adjustment for "missed" weekends or weekdays due to interruption by

specified holidays and special days. The parties are encouraged to compensate for missed

weekends so that a parent will not go more than two weekends without having weekend

parenting time.

 Other:_______________________________________________________________

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______________________________________________________________________

Section IV. Dispute Resolution Process (Required Provision)

4.1 Disputes between the parties, other than child support disputes, shall be submitted to:

 counseling by: ,

or

 mediation by : ,

or

 domestic case management by:

or

4.2 The cost of this process shall be allocated between the parties as follows:

 __________% Mother __________% Father.

 Based on each party's proportional share of income from line 6 of the child

support worksheets.

 Equally.

 As determined in the dispute resolution process.

V. Changing the Child(ren)’s Residence: K.S.A. 60-1620 Notice Requirement

5.1 Removal from State or Change of Residence: Each party shall give the other written

notice by restricted mail, return receipt requested, at his or her last known address not less than

thirty (30) days prior to changing residence, or if the child(ren) is to be removed from the state

of Kansas for in excess of ninety (90) days.

 5.2 Notice of Removal or Change not Required: A parent is not required to give notice of

removal from the state or change of residence to the other parent as the other parent has been

convicted of a crime specified in Article 34 (crimes against persons), Article 35 (sex offenses),

or Article 36 (crimes affecting family relationships and children) of Chapter 21 (Crimes and

Punishments) of the Kansas Statutes Annotated in which the child(ren) is the victim of such

crime.

VI. Optional Provisions

 6.1 Transportation and transportation costs. Responsibility for transportation and transportation

costs, as it relates to parenting time, shall be as follows:

 Transportation arrangements and costs shall be sole the responsibility of:

 Mother  Father.

 Transportation arraignments and costs shall be:

 Shared Equally

 Other _____________________________________________________

__________________________________________________________

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__________________________________________________________

 Not necessary at this time.

 6.2 Exchange Point: The exchange point for the child(ren) shall be:

 The home of the  Mother  Father parent  Other:

 Not necessary at this time.

 6.3 Notice of Intent to exercise or not to exercise parenting time:

 The Mother/Father parent shall notify the other parent _____ days in advance of intent to

exercise scheduled parenting time. If notification is not given, the subject parenting time

will be considered waived.

 Except for extreme and exceptional circumstances a parent is not required to wait for the

other parent more than minutes before the parenting time is considered waived.

 Other:________________________________________________________________

_____________________________________________________________________

 Not necessary at this time.

 6.4 Telephone and Mail Contact Between Parent and Child(ren).

 Telephone Contact. Each parent is allowed reasonable telephone access to their child(ren) at

reasonable hours without interference from the other parent. Telephone contact with a child(ren)

should not be used as an opportunity by either parent to discuss issues not related to the

child(ren) with the other parent. When telephone contact is attempted to be made with the

child(ren), the child(ren) should either have direct access to the telephone or the telephone

should be given directly to the child(ren) with a minimum of conversation between the parents

unless necessary for discussion of matters related to that contact. Any parent shall not refuse to

answer the phone, turn off the phone or put call block on the line in order to deny the other

parent telephone contact with the child(ren). Each parent shall supply the other parent with

current telephone numbers, where the child(ren) may be found or is/are staying.

 Not necessary at this time.

 Mail & Email Contact. Each parent with whom the child(ren) is not then living should have

unlimited ability to contact each other by use of either regular United States mail or electronic

mail, if such an account is available. The parent seeking mail contact must provide self-

addressed stamped envelopes for the child(ren) to use. If available, current e-mail addresses

where the child(ren) may be contacted shall be supplied to both parents by each parent. Where

possible, reasonable computer access shall be allowed.

 Not necessary at this time.

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 6.5 Other Considerations and Agreements:

_____________________________________________________________________________

 Not necessary at this time.

VII. Signatures: Required if agreed upon by the parties

Mother: Father:

Date Signed: ______________________ Date Signed:______________________

Signature Signature

Print Name Print Name

Address Address

Telephone Number Telephone Number

Signature of Attorney if any Signature of Attorney if any

Print Name Print Name

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VIII. ORDERED BY THE COURT

 IT IS THEREFORE, ORDERED that this parenting plan  after approval of the agreement of the

parties; or  after trial of the matter, the plan is hereby made the order of the court.

IT IS FURTHER ORDERED that, when mutual decision making is designated but cannot be

achieved, the parties shall make a good faith effort to resolve the issue through the dispute resolution

process. If a parent fails to comply with a provision of this plan, the other parent's obligations under the

plan are not affected unless specifically ordered by the court.

Date: __________________ __________________________________________

District Judge

Approved:

_______________________________________ _____________________________________

Signature: Atty/Pro Se Mother Signature: Atty./Pro Se Father

_______________________________________ ____________________________________

Print Name Print Name

Fillable Printable Sample Parenting Plan Form

Fillable Printable Sample Parenting Plan Form