Sample Parenting Plan - Georgia - Edit, Fill, Sign Online

__________________COUNTY SUPERIOR COURT

STATE OF GEORGIA

)

Plaintiff, ) Civil Action

) Case Number ________________

vs. )

)

Defendant. )

PARENTING PLAN

( ) The parties have agreed to the terms of this plan and this information has been furnished by both

parties to meet the requirements of OCGA Section 19-9-1. The parties agree on the terms of the

plan and affirm the accuracy of the information provided, as shown by their signatures at the end of

this order.

( ) This plan has been prepared by the judge.

This plan ( ) is a new plan.

( ) modifies an existing Parenting Plan dated ___________.

( ) modifies an existing Order dated __________________.

Child’s Name Date of Birth

I. Custody and Decision Making:

A. Legal Custody shall be (choose one:)

( ) with the Mother

( ) with the Father

( ) Joint

B. Primary Physical Custodian

For each of the children named below the primary physical custodian shall be:

d/o/b: ( ) Mother ( ) Father ( ) Joint

WHERE JOINT PHYSICAL CUSTODY IS CHOSEN BY THE PARENTS OR ORDERED BY

THE COURT, A DETAILED PLAN OF THE LIVING ARRANGEMENTS OF THE

CHILD(REN) SHALL BE ATTACHED AND MADE A PART OF THIS PARENTING PLAN.

C. Day-To-Day Decisions

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.

D. Major Decisions

Major decisions regarding each child shall be made as follows:

Educational decisions ( ) mother ( ) father ( ) joint

Non-emergency health care ( ) mother ( ) father ( ) joint

Religious upbringing ( ) mother ( ) father ( ) joint

Extracurricular activities ( ) mother ( ) father ( ) joint

_____________________ ( ) mother ( ) father ( ) joint

E. Disagreements

Where parents have elected joint decision making in Section I.D above, please explain how

any disagreements in decision-making will be resolved.

II. Parenting Time/Visitation Schedules

A. Parenting Time/Visitation

During the term of this parenting plan the non-custodial parent shall have at a minimum the

following rights of parenting time / visitation (choose an item):

( ) The weekend of the first and third Friday of each month.

( ) The weekend of the first, third, and fifth Friday of each month.

( ) The weekend of the second and fourth Friday of each month.

( ) Every other weekend starting on .

( ) Each starting at a.m./p.m. and ending a.m./p.m.

( ) Other: .

( ) and weekday parenting time / visitation on (choose an item):

( ) None

( ) Every Wednesday Evening

( ) Every other Wednesday during the week prior to a non-visitation weekend.

( ) Every

and evening.

( ) Other:

For purposes of this parenting plan, a weekend will start at a.m./p.m. on [Thursday /

Friday / Saturday / Other: ] and end at a.m./p.m. on [Sunday /

Monday / Other: ].

Weekday visitation will begin at a.m./p.m. and will end [at p.m. /

when the child(ren) return(s) to school or day care the next morning / Other:

].

This parenting schedule begins:

( ) ____________________ OR ( ) date of the Court’s Order

(day and time)

B. Major Holidays and Vacation Periods

Thanksgiving

The day to day schedule shall apply unless other arrangements are set forth:

beginning _____________________.

Winter Vacation

The ( ) mother ( ) father shall have the child(ren) for the first period from the day and time

school is dismissed until December ______ at __________ a.m./p.m. in ( ) odd numbered

years ( ) even numbered years ( ) every year. The other parent will have the child(ren) for

the second period from the day and time indicated above until 6:00 p.m. on the evening

before school resumes. Unless otherwise indicated, the parties shall alternate the first and

second periods each year.

Other agreement of the parents:

.

Summer Vacation

Define summer vacation period: _______________________________________________

The day to day schedule shall apply unless other arrangements are set forth:

beginning _____________________.

Spring Vacation (if applicable)

Define:___________________________________________________________________

The day to day schedule shall apply unless other arrangements are set forth:

beginning _____________________.

Fall Vacation (if applicable)

Define:___________________________________________________________________

The day to day schedule shall apply unless other arrangements are set forth:

beginning _____________________.

C. Other Holiday Schedule (if applicable)

Indicate if child(ren) will be with the parent in ODD or EVEN numbered years or indicate

EVERY year:

MOTHER FATHER

Martin Luther King Day _________________ _________________

Presidents’ Day _________________ _________________

Mother’s Day _________________ _________________

Memorial Day _________________ _________________

Father’s Day _________________ _________________

July Fourth _________________ _________________

Labor Day _________________ _________________

Halloween _________________ _________________

Child(ren)’s Birthday(s) _________________ _________________

Mother’s Birthday _________________ _________________

Father’s Birthday _________________ _________________

Religious Holidays: _________________ _________________

_________________ _________________ _________________

Other: _________________ _________________ _________________

_________________ _________________ _________________

Other: _________________ _________________ _________________

_________________ _________________

D. Other extended periods of time during school, etc. (refer to the school schedule)

E. Start and end dates for holiday visitation

For the purposes of this parenting plan, the holiday will start and end as follows (choose

one):

( ) Holidays that fall on Friday will include the following Saturday and Sunday

( ) Holidays that fall on Monday will include the preceding Saturday and Sunday

( ) Other: _______________________________________________________

F. Coordination of Parenting Schedules

Check if applicable:

( ) The holiday parenting time/visitation schedule takes precedence over the regular

parenting time/visitation schedule.

( ) When the child(ren) is/are with a parent for an extended parenting time/visitation period

(such as summer), the other parent shall be entitled to visit with the child(ren) during the

extended period, as follows:

G. Transportation Arrangements

For visitation, the place of meeting for the exchange of the child(ren) shall be:

The will be responsible for transportation of the child at the

beginning of visitation.

The will be responsible for transportation of the child at the

conclusion of visitation.

Transportation costs, if any, will be allocated as follows:

Other provisions:

H. Contacting the child

When the child or children are in the physical custody of one parent, the other parent will

have the right to contact the child or children as follows:

( ) Telephone

( ) Other:

( ) Limitations on contact:

I. Supervision of Parenting Time (if applicable)

( ) Check here if Applicable

Supervised parenting time shall apply during the day-to-day schedule as follows:

Place:

Person/Organization supervising:

Responsibility for cost: ( ) mother ( ) father ( ) both equally

J. Communication Provisions

Please check:

( ) Each parent shall promptly notify the other parent of a change of address, phone number

or cell phone number. A parent changing residence must give at least 30 days notice of the

change and provide the full address of the new residence.

( ) Due to prior acts of family violence, the address of the child(ren) and victim of family

violence shall be kept confidential. The protected parent shall promptly notify the other

parent, through a third party, of any change in contact information necessary to conduct

visitation.

III. Access to Records and Information

Rights of the Parents

Absent agreement to limitations or court ordered limitations, pursuant to O.C.G.A. § 19-9-1

(b) (1) (D), both parents are entitled to access to all of the child(ren)’s records and

information, including, but not limited to, education, health, extracurricular activities, and

religious communications. Designation as a non-custodial parent does not affect a parent’s

right to equal access to these records.

Limitations on access rights:

Other Information Sharing Provisions:

IV. Modification of Plan or Disagreements

Parties may, by mutual agreement, vary the parenting time/visitation; however, such agreement

shall not be a binding court order. Custody shall only be modified by court order.

Should the parents disagree about this parenting plan or wish to modify it, they must make a good

faith effort to resolve the issue between them.

V. Special Considerations

Please attach an addendum detailing any special circumstances of which the Court should be aware

(e.g., health issues, educational issues, etc.)

VI. Parents’ Consent

Please review the following and initial:

1. We recognize that a close and continuing parent-child relationship and continuity in the

child’s life is in the child’s best interest.

Mother’s Initials: ___________ Father’s Initials: ____________

2. We recognize that our child’s needs will change and grow as the child matures; we have

made a good faith effort to take these changing needs into account so that the need for

future modifications to the parenting plan are minimized.

Mother’s Initials: ____________ Father’s Initials: ____________

3. We recognize that the parent with physical custody will make the day-to-day decisions

and emergency decisions while the child is residing with such parent.

Mother’s Initials: __________Father’s Initials: _____________

( ) We knowingly and voluntarily agree on the terms of this Parenting Plan. Each of us

affirms that the information we have provided in this Plan is true and correct.

Father’s Signature Mother’s Signature

ORDER

The Court has reviewed the foregoing Parenting Plan, and it is hereby made the order of this Court.

This Order entered on _____________________________________, 20 _____ .

JUDGE

COUNTY SUPERIOR COURT

Fillable Printable Sample Parenting Plan - Georgia

Fillable Printable Sample Parenting Plan - Georgia

Sample Parenting Plan - Georgia