Child Custody and Visitation Agreement
________________________________________
("Custodian") shall have custody of
________________________________________
("Child"), and
control and supervision of
_________ [his or her] upbringing, subject to the following:
1.
________________________________________
("Non-Custodial Parent") shall have the right to
visit the Child once each week, on either of the following days, between the
following hours, respectively: (A) on ______________ [day of the week] between _________________
[starting hour] and
______________ [ending hour]
or
______________ [alternate starting hour]
and
______________ [alternate ending hour]; or (B) on ______________
[day of the week] between _________________
[starting hour] and
______________ [ending hour]
or
______________ [alternate starting hour]
and
______________ [alternate ending hour].
It is agreed that the Non-Custodial Parent will notify
the Custodian on or before
___________________________ [day
of the week and time of day] whether the Non-Custodial Parent intends to visit the Child
and on which of the designated days and times. If the day or hour selected is inconvenient, the
Custodian will
notify the Non-Custodial Parent no later than
___________________________ [day
of the week and time of day], and the Non-Custodial Parent shall be permitted to visit
the Child the alternate day or during the alternate hours.
2. Nothing contained in this agreement shall be
construed as an obligation or a duty on the part of the Non-Custodial Parent to accept
custody of the Child at the time or for the periods indicated. The intention of
the parties is that the Non-Custodial Parent's right of visitation shall be entirely optional to
Non-Custodial Parent, and should the
Non-Custodial Parent so desire, Non-Custodial Parent may waive the privilege of
visitation on any occasion and for any reason, without waiving Non-Custodial
Parent's right to
future visits.
3. _____ Not applicable, or
_____
Due to the present immaturity of the Child,
the Non-Custodial Parent shall not at the present time be entitled to take the Child away
from the Custodian's home for any period of time. However, if at a later date, when
the Child becomes older, the Child personally expresses a wish or desire to accompany
his/her Non-Custodial Parent and spend with that parent a period of time other than the periods set forth
in this agreement, the Custodian will consent to such partial custody at that time
and for such period.
4. The Custodian shall promptly notify the
Non-Custodial Parent in
the event of illness of the Child. The word "illness" shall be deemed to
mean any illness, other than any illness from which the Child is now suffering,
which shall confine the Child to bed for more than two days.
5. On all matters of importance relating to the
Child's health and education, the Custodian shall consult and confer with the
Non-Custodial Parent, with a view to adopting and following a harmonious policy.
6. Neither party shall do anything which may
estrange the Child from the other.
________________________________________ Date: ______________
Signature of Non-Custodial Parent
________________________________________
Non-Custodial Parent's Printed or Typed Name
________________________________________
Date: ______________
Signature of Custodian
________________________________________
Custodian's Printed or Typed Name