PARENTING PLAN WORKSHEET

Please complete this form to the best of your ability and bring it with you to your initial appointment. This is not an official declaration, but rather serves as a tool to assist you in gathering your thoughts in a clear and concise fashion.

Proposal:

I, ___________________________ propose the following child sharing plan:

The children will stay with their mother:

Mon. - Fri. (during the school year) ___ (all year)___
or
___weekends per month from ________ to________
#                                             (time)(day) (time)(day)
or
Alternate weekends from ____________ to________
                                                (time)(day) (time)(day)
and/or
Weekday(s): From _________________ to________
                                               (time)(day) (time)(day)

The children will stay with their father:

Other Alternatives

Summer (or vacation periods):

Holidays:

Christmas/Winter Break:

Thanksgiving:

Easter/Spring Break

Long Holiday Weekends (Labor Day, Memorial Day, etc.):

Mother's Day, Father's Day:

Religious Holidays:

Other Special Occasions:

Transportation: