Grandparent Visitation Agreement Template

This Grandparent Visitation Agreement (the “Agreement”) is made as of [Effective Date] by and among:

Parent(s): [Parent A Full Name] and [Parent B Full Name] (“Parents”)
Grandparent(s): [Grandparent Name(s)] (“Grandparent(s)”)

Child(ren): [Name(s), DOB(s)]

1. Purpose

1.1 The Parties agree to a visitation schedule for the Grandparent(s) that supports the child(ren)’s best interests and family relationships.

2. Visitation Schedule

2.1 Regular visits will occur:

• Day(s): [Day(s)]

• Time: [Start–End]

• Frequency: [Weekly/biweekly/monthly]

• Start date: [Date]

2.2 Holiday/special occasions (optional): [Birthdays, holidays, school breaks].
2.3 Make-up visits: [Rules].
2.4 Cancellations require [__] hours’ notice except emergencies.

3. Location and Transportation

3.1 Visits will occur at: ☐ grandparent’s home ☐ parent’s home ☐ public place ☐ other: [__].
3.2 Transportation:

• Pickup by: ☐ Parents ☐ Grandparent(s) ☐ shared

• Drop-off by: ☐ Parents ☐ Grandparent(s) ☐ shared
  3.3 Exchange location: [Address] and exchange time rules: [__].

4. Rules and Boundaries

4.1 Grandparent(s) will follow parents’ rules regarding: bedtime, diet, medication, discipline, and screen time.
4.2 No negative comments about either parent to the child(ren).
4.3 Photos/social media: ☐ allowed ☐ not allowed ☐ only with parents’ approval.
4.4 Gifts/activities: [Any limits; spending approvals].

5. Communication

5.1 Grandparent(s) may communicate with the child(ren) by: ☐ phone ☐ video call ☐ text (as age-appropriate) at: [Times/frequency].
5.2 Parents will receive updates for emergencies and significant issues.

6. Safety and Supervision (Optional)

6.1 Supervision required: ☐ No ☐ Yes (details): [Who supervises].
6.2 Safety rules: car seat use, no substances, no weapons, etc.

7. Medical and Emergency

7.1 Grandparent(s) may obtain emergency medical care if a parent cannot be reached promptly, and will notify parents immediately.
7.2 Allergies/medical info: [List].

8. Changes and Disputes

8.1 Changes must be in writing and agreed by Parents and Grandparent(s).
8.2 Disputes: ☐ discussion ☐ mediation ☐ other: [__].

Signatures

Parent A: [Full Name]
Date: [Date]
Signature: ___________________________

Parent B (Optional): [Full Name]
Date: [Date]
Signature: ___________________________

Grandparent: [Full Name]
Date: [Date]
Signature: ___________________________

Grandparent (Optional): [Full Name]
Date: [Date]
Signature: ___________________________