Custody and Visitation Agreement Template

This Custody and Visitation Agreement (“Agreement”) is made and entered into on this _____ day of ______, 20____, by and between:

Parent 1:
Full Name: __________________________
Address: __________________________
Phone: __________________________
Email: __________________________

Parent 2:
Full Name: __________________________
Address: __________________________
Phone: __________________________
Email: __________________________

Both parents are the natural or legal guardians of the following minor child(ren):

1. Legal Custody

The parents agree that legal custody of the child(ren) shall be:
☐ Joint Legal Custody — Both parents shall share the rights and responsibilities to make major decisions regarding the child’s health, education, and welfare.
☐ Sole Legal Custody — Granted to [Parent 1 / Parent 2], who shall have the exclusive right to make major decisions for the child(ren).

2. Physical Custody

Physical custody determines where the child(ren) will primarily reside.
☐ Joint Physical Custody — The child(ren) shall spend significant time with both parents as described in the visitation schedule.
☐ Sole Physical Custody — The child(ren) shall primarily reside with [Parent 1 / Parent 2], while the other parent shall have visitation rights as outlined below.

3. Visitation Schedule

The parents agree to the following regular visitation schedule:

• Weekdays: __________________________________________

• Weekends: __________________________________________

• Holidays: __________________________________________

• School Vacations: __________________________________________

Each parent shall provide reasonable notice if unable to exercise scheduled visitation and shall work cooperatively to make up missed time when appropriate.

4. Transportation

Transportation for visitation shall be provided by:
☐ Parent 1
☐ Parent 2
☐ Shared (alternating schedule or agreed arrangement).
Exchange of the child(ren) shall occur at: __________________________.

5. Communication

Each parent shall have reasonable and regular communication with the child(ren) during the other parent’s custodial period via phone, text, or video call, unless restricted by court order.

6. Decision-Making Responsibilities

Major decisions affecting the child(ren), including medical treatment, education, and religious upbringing, shall be made:
☐ Jointly by both parents.
☐ Solely by [Parent 1 / Parent 2].

7. Relocation

Neither parent shall relocate the child(ren) to a new residence more than [X] miles away without providing written notice to the other parent at least [X] days prior, and without obtaining court approval if required by law.

8. Dispute Resolution

Any disputes arising under this Agreement shall first be addressed through:
☐ Mediation
☐ Family counseling
☐ Other agreed method: __________________________
If unresolved, either parent may seek judicial intervention.

9. Modification and Enforcement

This Agreement may be modified only by mutual written consent of both parents or by court order. Failure to comply with the terms may result in legal action or modification by the court.

10. Acknowledgment

Both parents affirm that they:

• Have read and understood this Agreement;

• Enter into it voluntarily and in good faith;

• Believe it serves the best interests of their child(ren).

Parent 1 Signature: __________________________
Date: __________________________

Parent 2 Signature: __________________________
Date: __________________________

11. Notary Acknowledgment

State of __________________
County of __________________

Subscribed and sworn before me on this _____ day of __________, 20____, by [Parent 1 Name] and [Parent 2 Name].

Notary Public Signature: __________________________
Commission Expires: __________________________
Seal: