IN THE _ _ _ _ _ _ _ _ _ COURT OF HAMILTON COUNTY, TENNESSEE
| * | |
| _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ , | * |
| PLAINTIFF | * N0. _ _ _ _ _ _ |
| * | |
| vs. | * PART _ _ _ |
| * | |
| _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ , | * |
| DEFENDANT | * |
PERMANENT PARENTING PLAN
This Permanent Parenting Plan regarding the parenting of their children is presented by: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ (hereinafter referred to as "Mother") and _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ (hereinafter referred to as "Father") This plan is proposed by:_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
This plan has been reached by:
Agreement qMediation
qOther
ADR qby COURT
hearing on _ _ _ _ _ _ _ _ [Date]
1. PARENTING & SUPPORT
1.1 PARENTING. The parties will share parenting of their minor child(ren):
[child's name] [child's DOB]
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
_ _ _ _ _ _ _ _ _ _ qMother
qFather
[child's name]
[child's DOB]
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
_ _ _ _ _ _ _ _ _ _ qMother
qFather
[child's name]
[child's DOB]
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
_ _ _ _ _ _ _ _ _ _ qMother
qFather
[child's name]
[child's DOB]
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
_ _ _ _ _ _ _ _ _ _ qMother
qFather
[child's name]
[child's DOB]
The child(ren) will reside at the primary residence for the majority of the time. The designation does not affect either parent's rights and responsibilities under this parenting plan.
1.2 FINANCIAL SUPPORT. qMother qFather, "Obligor Spouse", will pay child support for the _ _ _ _ [number] of minor child(ren) in accordance with the Tennessee Child Support Guidelines in the amount of $_ _ _ _ _ per_ _ _ _ . The support will be paid to qMother qFather, "Obligee Spouse".
qA wage assignment will issue (by separate order to be presented by counsel) to the employer of Obligor Spouse: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ Employer is to deduct the amount of support as noted above plus a five percent (5%) clerk's fee and send the total amount of $_ _ _ _ _ _ to: Central Child Support Receipting Unit, P.O. Box TN 37229.
Obligor Spouse will submit annually an income report to Obligee Spouse which report will be as set forth in APPENDIX A hereto.
qOther provisions not covered above regarding financial support are:_ _ _ _ _ _ _ _ _ _ _
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
1.3 TAX EXEMPTION. qMother qFather will receive the tax exemption for the child(ren). qOther
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
Each party will provide to the other, on or before April
15 of every year, a copy of their respective W-2 form or a copy of the
first page of their tax return. Where a copy of the first page of the return
is to be provided, that copy may be provided on or before August 15 if
an extension is sought, in which case a copy of the request for extension
will be furnished on or before April 15 of each year.
1.4 HEALTH INSURANCE. qMother qFather will maintain medical/hospital insurance on the minor child(ren), and proof of continuing coverage will be furnished by February 15 of each year. Uncovered medicals, including deductibles, if any, will be either:
qborne by qMother qFather, OR qdivided equally between the parties, OR
qother:_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
1.5 DENTAL INSURANCE. qMother qFather will maintain dental/orthodontics insurance on the minor child(ren), and proof of continuing coverage will be furnished by February 15 of each year. Uncovered medicals, including deductibles, if any, will be either:
qborne by qMother qFather, OR qdivided equally between the parties, OR
qother:_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
1.6 LIFE INSURANCE. qMother
qFather
will maintain life insurance in the minimum amount of
$_ _ _ _ _ _ _ _ _ _ , whole life or term, which may
not decrease in face amount during the minority of any child. The policy
will name the minor child(ren) as primary beneficiaries and proof of continuing
coverage will be furnished by February 15th of each year. The
insured shall also designate
qMother
qFather
qOther_
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
_ _ _ _ _ _ _ _ _ as guardian over these funds for the benefit of the child(ren).
The choice of secondary beneficiaries will be left to the owner of the
policy, and if the type of policy chosen is whole life, the owner may retain
control of the investment portion of the policy.
qOther Provisions regarding life insurance:_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
1.7 OTHER PROVISIONS. The following special provisions apply to parenting and support:
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
2. SCHEDULES
2.1 RESIDENTIAL SCHEDULE.
qThe parties have been unable to agree, and the residential provisions are submitted to the COURT for decision.
qThe parties have agreed to the following residential schedule:
2.2 PRE-SCHOOL SCHEDULE. qThere are _ _ _ _ _ [Number] children of preschool age.
q Prior to enrollment in school, there are special education needs of _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ [name(s) of child(ren)]
which will be addressed as follows:_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
qPrior to enrollment in school, the child(ren) will reside with qMother qFather, except for the following days and times when the child(ren) will reside or be with the other parent:
From:_ _ _ _ _ _ _ _ _ _ [Day/Time] To:_ _ _ _ _ _ _ _ _ _ [Day/Time]
qevery week qevery other week qthe first and third week of the month
qthe second and fourth week of the month qother:_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
and
From:_ _ _ _ _ _ _ _ _ _ [Day/Time]
To:_ _ _ _ _ _ _ _ _ _ _ [Day/Time]
qevery
week qevery
other week qthe
first and third week of the month
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
2.3.1 Upon enrollment in school, the child(ren)
will reside with qMother
qFather,
except for the following days and times when the child(ren) will reside
or be with the other parent:
From:_ _ _ _ _ _ _ _ _ _ [Day/Time]
To:_ _ _ _ _ _ _ _ _ _ [Day/Time]
qevery week qevery other week qthe first and third week of the month
qthe second and fourth week of the month qother:_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ and
From:_ _ _ _ _ _ _ _ _ _ [Day/Time] To:_ _ _ _ _ _ _ _ _ _ _ [Day/Time]
qevery week qevery other week qthe first and third week of the month
qthe second and fourth week of the month qother:_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
2.3.2 This school schedule will start when each
child begins:
qkindergarten
qfirst
grade q
other:_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
2.4 SCHEDULE FOR WINTER/CHRISTMAS VACATION. The
child(ren) will reside with:
q
mother
q
father during the winter vacation, except for the following days and times
when the
child(ren) will reside or be with the other parent:_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
2.5 SCHEDULE FOR SPRING VACATION. The child(ren) will reside with qMother qFather during the spring vacation, except for the following days and times when the child(ren) will reside or be with the
other parent: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
2.6 SUMMER SCHEDULE. Upon completion of the school
year, the child(ren) will reside with:
qMother
qFather,
except for the following days and times when the child(ren) will reside
with or be with other persons or the other parent:
qSame
as school year schedule qOne
week every month qTwo
weeks every month
qOne month beginning _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
q_ _ _ weeks, starting _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ qSummer
camp beginning _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
qSummer sports programs will be honored, and they begin _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
and end _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
qOther: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
2.7 SCHEDULE FOR HOLIDAYS. The residential schedule for the child(ren) for the holidays is:
New Year's Day qMother qFather qOdd Years qEven Years qEvery Year
Martin Luther King Day qMother qFather qOdd Years qEven Years qEvery Year
Presidents' Day qMother qFather qOdd Years qEven Years qEvery Year
Easter qMother qFather qOdd Years qEven Years qEvery Year
Passover qMother qFather qOdd Years qEven Years qEvery Year
Memorial Day qMother qFather qOdd Years qEven Years qEvery Year
Mother's Day qMother qFather qOdd Years qEven Years qEvery Year
Father's Day qMother qFather qOdd Years qEven Years qEvery Year
July 4th qMother qFather qOdd Years qEven Years qEvery Year
Labor Day qMother qFather qOdd Years qEven Years qEvery Year
Veteran's Day qMother qFather qOdd Years qEven Years qEvery Year
Thanksgiving Day qMother qFather qOdd Years qEven Years qEvery Year
Christmas Eve qMother qFather qOdd Years qEven Years qEvery Year
Christmas Day qMother qFather qOdd Years qEven Years qEvery Year
Hanukkah qMother qFather qOdd Years qEven Years qEvery Year
Birthdays qMother qFather qOdd Years qEven Years qEvery Year
Other Special qMother
qFather
qOdd
Years qEven
Years qEvery
Year
qFor purposes of this parenting plan, a holiday will begin and end as follows:_ _ _ _ _ _ _ _ _ _ _ _
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ [set forth
times]
Note: Holidays (other than birthday's) which fall
on a Friday or Monday will include Saturday and Sunday.
2.8 RESIDENTIAL TIME RESTRICTIONS. qDo
not apply, OR
qMother's
qFather's
residential time with the child(ren) will be restricted because of:
qa history of acts of domestic violence or an assault or sexual assault which has caused grievous bodily harm or the fear of such harm;
qneglect or substantial non-performance of parenting functions;
qa long-term emotional or physical impairment which interferes with the performance of parenting functions;
qabsence of or substantial impairment of emotional ties between the parent and child
qabusive use of conflict by the parent which creates the danger of serious damage to a child's psychological development;
qwithholding
from the other parent access to a child for a protracted period without
good cause as follows: _ _ _ _ _ _ _ _ _ _ _ _
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
parents will be as follows:_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
The costs of transportation shall be qPaid equally qPaid by: qMother qFather.
2.10 OTHER PROVISIONS. The following special provisions apply to the schedules or residence
considerations of the child(ren): _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
3. DECISION MAKING
3.1 DAY-TO-DAY DECISIONS. Each
parent will make decisions regarding the day-to-day care and control of
each child while the child is residing with that parent. Regardless of
the allocation of decision making in the parenting plan, either parent
may make emergency decisions affecting the health and safety of the child(ren).
3.2 MAJOR DECISIONS. Major decisions regarding each
child will be made as follows:
3.2.1 SPECIAL EDUCATION. The following provision
is made with respect to the child(ren) and any special or private schooling
upon which the mother and father may agree:
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
3.2.2 SCHOOLS TO BE ATTENDED. The child(ren) are in the following grades and schools:
Child 1._ _ _ _ _ _ _ _
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
_ _ _ _ _ _
[Child's name] [Grade] [School]
Child 2._ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
[Child's name] [Grade] [School]
Child 3._ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
[Child's name] [Grade] [School]
Child 4._ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
[Child's name] [Grade] [School]
Child 5._ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
[Child's name] [Grade] [School]
Child 6._ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
[Child's name] [Grade] [School]
Child 1 will continue to attend _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ [elementary school] until the _ _ grade, at which time Child 1 will then attend_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ [middle school] and _ _ _ _ _ _ _ _ _ _ _ _ _ [high school] in the feeder system of _ _ _ _ _ _ _ _ _ [elementary school], since it is recognized that most of Child 1's classmates will also do so.
Child 2 will continue to attend _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ [elementary school] until the _ _ grade, at which time Child 2 will then attend_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ [middle school] and _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ [high school] in the feeder system of _ _ _ _ _ _ _ _ _ [elementary school], since it is recognized that most of Child 2's classmates will also do so.
Child 3 will continue to attend _ _ _ _ _ _ _ _ _ _ _ _ [elementary school] until the _ _ grade, at which time Child 3 will then attend_ _ _ _ _ _ _ _ _ _ _ _ [middle school] and _ _ _ _ _ _ _ _ _ _ _ _ _ _ [high school] in the feeder system of _ _ _ _ _ _ _ _ _ [elementary school], since it is recognized that most of Child 3's classmates will also do so.
Child 4 will continue to attend _ _ _ _ _ _ _ _ _ _ _ _ [elementary school] until the _ _ grade, at which time Child 4 will then attend_ _ _ _ _ _ _ _ _ _ _ _ [middle school] and _ _ _ _ _ _ _ _ _ _ _ _ _ _ [high school] in the feeder system of _ _ _ _ _ _ _ _ _ [elementary school], since it is recognized that most of Child 4's classmates will also do so.
Child 5 will continue to attend _ _ _ _ _ _ _ _ _ _ _ _ [elementary school] until the _ _ grade, at which time Child 5 will then attend_ _ _ _ _ _ _ _ _ _ _ _ [middle school] and _ _ _ _ _ _ _ _ _ _ _ _ _ _ [high school] in the feeder system of _ _ _ _ _ _ _ _ _ [elementary school], since it is recognized that most of Child 5's classmates will also do so.
Child 6 will continue to attend _ _ _ _ _ _ _ _ _ _ _ _ [elementary school] until the _ _ grade, at which time Child 6 will then attend_ _ _ _ _ _ _ _ _ _ _ _ [middle school] and _ _ _ _ _ _ _ _ _ _ _ _ _ _ [high school] in the feeder system of _ _ _ _ _ _ _ _ _ [elementary school], since it is recognized that most of Child 6's classmates will also do so.
In the event qMother qFather moves from the neighborhood of the feeder system in which the child(ren) presently are educated, then the child(ren) will be enrolled in the Middle School and High School of the public school feeder system for that neighborhood. qMother qFather will consult with qMother qFather as soon as possible after any such decision is considered but in any event at least ninety (90) days before any such decision to move is to be implemented. Upon graduation from High School, Mother and Father will consult with respect to the college education of the children. In the event that either parent will desire that the children attend college and if the other parent is not willing to contribute to the expense of college education, then the parent desiring the college education will have the decision making authority with respect thereto. In the event that both parents contribute to the college education, then decisions with respect to that education will be shared, and the parents will consult on all major aspects of that education. Education decisions not covered herein will be made by qMother qFather after consultation.
3.2.3 HEALTH CARE. The child(ren) will continue
under the medical insurance plan of the:
qMother
qFather.
In the event there are medical expenses not covered by medical insurance,
the parents will share those costs equally. Mother and Father will consult
with respect to major, non-emergency medical decisions, and either Father
or Mother will be entitled to seek a second opinion with respect to the
necessity or wisdom of any medical decision. If a second opinion differs
in any material respect with the first opinion, a third opinion will be
obtained, and the majority opinions will control. The parties have agreed
that either parent may make emergency decisions affecting the health and
safety of the child(ren). To the extent that the following medical services
are not covered by medical insurance, they are approved: eyeglasses or
contact lenses, braces, routine annual physical (with the results available
to both parents), and periodic dental cleaning with any cavities filled.
Decisions not covered hereunder will be made by qMother
qFather
after consultation.
3.2.4 EXTRACURRICULAR ACTIVITIES. Both parents have encouraged the child(ren) to engage in extracurricular activities, and to that end they are willing to share in the expense of, and will jointly
consult with respect to, the following (narrow the list as appropriate): _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ [define the type such as football, wrestling, glee club, cheerleading, class trips, summer camp, etc.] To the extent that one parent is not willing to participate in the funding of any extracurricular activity, then the other parent will have the sole decision-making authority with respect to that activity, and the non-contributing parent will not object. There will be no comment made with respect to financial non-contribution of one parent in the provision of extracurricular activities by the other. Neither parent will engage in the provision of extracurricular activities for the child(ren) which will result in the exclusion, whether intentional or unintentional, of the other. As the child(ren) enter teenage years, the child(ren) will be permitted to attend social functions sponsored by their school or church as well as private parties, provided both parents are satisfied that alcohol and drugs are not available at those functions. Both parents will consult with respect to any such function and will, where possible, reach a joint decision on whether the child(ren) may attend. In the event that there is any disagreement with respect to the attendance at such a function or if there is an extracurricular matter not covered hereunder, qMother qFather will make the decision.
3.2.5 RELIGIOUS UPBRINGING. The child(ren) will continue to attend _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ [place of worship], and the parents will continue, where possible, to attend with the child(ren). Before any change in the religious affiliation of the child(ren), the parents will consult in advance and attempt to reach an agreement with respect to any such change. In the event the parents are unable to agree or if there is an extracurricular matter not covered hereunder, qMother qFather will make the decision.
3.2.6 MISCELLANEOUS. The parents will consult regarding providing a vehicle to any child after the child's 16th birthday. If the parents are unable to reach an agreement as to the type or cost of any vehicle: qMother qFather will make the decision.
3.3 GENERAL PRINCIPLES. Mother and Father make the following agreement and allocation with respect to their parenting responsibilities.
3.3.1 CHILD NURTURE. Mother and Father will conduct themselves with respect to each other and the child(ren) so as to provide a loving, stable, consistent and nurturing relationship with the child(ren) even though they, themselves, are being divorced. To that end they will not speak derogatorily of each other or the members of the family of the other, will not cause the child(ren) to be drawn into any dispute regarding decisions affecting the child(ren) and will not attempt to curry favor with the child(ren) to the detriment of the other.
3.3.2 DAILY NEEDS. When each child is in the care of a parent, that parent will insure the child will be properly groomed, fed and clothed. The child will be given proper physical, health and day care (if both parents work and the child is less than 12 years old).
3.3.3 INTERPERSONAL RELATIONSHIPS. Both Father and Mother will encourage and foster relationships of each child with other children, family members and, where appropriate, secular members to insure each child has a well-rounded upbringing. In addition, the parents will expose
each child as to many of the following activities as they can: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ [athletic, artistic, reading, etc., be as specific as possible to avoid future dispute over the activities the parents believe are appropriate].
3.4 RESTRICTIONS IN DECISION MAKING. qDoes
not apply, OR
qSole
decision making will be made by qMother
qFather
for the following reasons:
qboth parents are opposed to mutual decision making;
qone parent is opposed to mutual decision making, and such opposition is reasonably based upon the following criteria:
qthe history of participation of each parent in decision making in each area of T.C.A. §36-6-106;
qthe parents' geographic proximity to one another, to the extent that it affects their ability to make timely mutual decisions.
qthese
restrictions are to remain qPermanently
qUntil
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
4. OTHER PROVISIONS. _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
5. DISPUTE RESOLUTION. Except for those involving child support, disputes arising between the parties will be resolved by:
qCounseling by _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ , or
qMediation by _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ , or
qArbitration by _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ , or
The cost of these dispute resolution processes will be allocated between the parties as follows:
qMother_ _ _ _ _ _ % Father_ _ _ _ _ _ %;
qBased upon each party's proportional share of income;
qAs determined in the dispute resolution process.
The dispute resolution process will be commenced by notifying the other party by:
qwritten request qcertified mail qother: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
5.1 In the dispute resolution process, preference will be given to carrying out the parenting plan.
5.2 Unless an emergency exists, the parents will use the designated process to resolve disputes relating to implementation of the plan, except those related to financial support.
5.3 A written record of any agreement reached between the parties will be provided to the parties and submitted to the COURT, where necessary, for a Consent Order of Modification.
5.4 If the COURT finds a parent has misused or frustrated the dispute resolution process, the COURT will award attorney fees and financial sanctions to the non-abusing party;
5.5 The parties have the right of review from the dispute resolution process to the COURT.
5.6 No dispute resolution process, except COURT action, will be required if a limiting factor under TCA §36-6-412 applies or one parent is unable to afford the cost of the proposed dispute resolution process.
6. STANDARD RIGHTS. The following are the rights of a parent where a child is not in the care of that parent, unless those rights are denied in whole or in part by the COURT upon a showing that such denial is in the best interests of the child.
6.1 The right to unimpeded telephone conversations with each child at least twice a week at reasonable times and for reasonable duration.
6.2 The right to send mail to each child which the other parent will not open or censor.
6.3 The right to receive notice and relevant information as soon as practicable but within twenty-four (24) hours of any event of hospitalization, major illness or death of each child.
6.4 The right to receive directly from each child's school upon written request which includes a current mailing address and upon payment of reasonable costs of duplication, copies of each child's report card, attendance records, names of teachers, class schedules, standardized test scores and any other records customarily made available to parents.
6.5 The right to receive, directly from each child's physician and other health care provides, copies of each child's medical records, provided that a written request has been made to the provider with a current mailing address and payment for the reasonable cost of duplicating and mailing the records.
6.6 The right to be free of unwarranted derogatory remarks made about the parent or the parent's family by the other parent to or in the presence of the child.
7. DECLARATION
We each make the following declaration in submitting this plan: UNDER
PENALTY OF PERJURY UNDER THE LAWS OF THE STATE OF TENNESSEE, I DECLARE
THAT THIS PLAN HAS BEEN PROPOSED IN GOOD FAITH AND IS IN THE BEST INTEREST
OF THE CHILD(REN) AND THAT THE STATEMENTS HEREIN ARE TRUE AND CORRECT.
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
_ _ _
[Mother]
[Date & Place Signed]
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
_ _ _
[Father]
[Date & Place Signed]
[Rev. 10.01.99]