Checklist of Other Possible Parenting Plan Provisions
Exhibit "A"
This document is to be used only as a checklist memorandum of the parents' preferred
options regarding a parenting plan. It is not a legal document and should not
be signed by the parties as a binding agreement. It is not effective until an
agreed parenting plan is entered with court approval incorporating its terms.
The parties are advised that they should have the terms reviewed by a lai yer
before they execute an agreed parentingplan.
We have also entered into the following agreements regarding our child[ren]:
Other Holidays
Halloween:

defined as	DAM. ^P.M. to
DAM. ^P.M. on Halloween day.
defined as
^ Father ^ Mother shall have Halloween every year.
^ Father ^ Mother shall have Halloween in even-numbered years and
^ Father ^ Mother shall have Halloween in odd-numbered years.
Memorial Day Weekend:
^	defined as Friday	DAM. ^P.M. to Monday ____DAM. ^P.M.
^	defined as
1]	^ Father ^ Mother shall have Memorial Day weekend every year.
^		^ Father ^ Mother shall have Memorial Day weekend in even-numbered years and ^ Father ^ Mother shall have Memorial Day weekend in odd-numbered
Labor Day Weekend: 
^	defined as Friday	^A.M. ^P.M. to Monday		^P.M.
^	defined as	
^	^ Father ^ Mother shall have Labor Day weekend every year.
^	^ Father ^ Mother shall have Labor Day weekend in even-numbered years and
^	Father F.:1 Mother shall have Labor Day weekend in odd-numbered years.
Easter Sunday: 
^	defined as	^A.M. ^P.M. to	^A.M. ^P.M. on Easter Sunday.
^	defined as	
^	^ Father ^ Mother shall have Easter Sunday every year.
^	^ Father ^ Mother shall have Easter Sunday in even-numbered years and
^	Father ^ Mother shall have Easter Sunday in odd-numbered years.
Passover: 
^	defined as	^A.M. ^P.M. to	^A.M. ^P.M.
^	Mother shall have the ^ first night ^ second night every year.
^	Father shall have the ^ first night ^ second night every year.
Hanukkah: 
^	defined as	^A.M. ^P.M. to	^A.M. ^P.M.
^	Mother shall have nights: 1 2 3 4 5 6 7 8 (circle which nights).
^	Father shall have nights: 1 2 3 4 5 6 7 8 (circle which nights).
^	Other:
Yom Kippur:
^	defined as
^	^ Father ^ Mother shall have Yom Kippur every year.
^	^ Father ^ Mother shall have Yom Kippur in even-numbered years and
^ Father ^ Mother shall have Yom Kippur in odd-numbered years.
Rosh Hashanah: ^	defined as
^	^ Father ^ Mother shall have Rosh Hashanah every year.
^	^ Father ^ Mother shall have Rosh Hashanah in even-numbered years and
^ Father ^ Mother shall have Rosh Hashanah in odd-numbered years.
Parent's Birthday:
^	When it is Father's or Mother's birthday, the birthday parent shall have his or her
celebration during his or her regularly scheduled time with the child[ren].
^	When it is Father's or Mother's birthday, the birthday parent shall be entitled to have tl
children] for up to three hours for a celebration on the birthday and shall give notice to
the other parent of his or her plan to exercise this option at least three days in advance.
^	Other

^
0
Lhoice of School(s)
The child[ren] shall be enrolled in the following programs: ^	Child care
^	Preschool
^	Elementary school
Middle/junior high school High school
Before or after school at
^	Study abroad
^	Summer school
^	Special education or tutoring
^		No changes in enrollment or participation shall be made without the consent of both parents.
^		If the child[ren] [is/are] no longer eligible to attend an educational program in which the child[ren] [is/are] enrolled, ^ Mother ^ Father shall have the responsibility to decide what program will be substituted, and the other parent will be given the right to attend and be informed of any pertinent meetings or testing related to the change in educational
programs.
Participation in Educational Activities and Decisions
^		Both parents shall provide the leaders of the educational programs and activities attended by the child[renl with stamped, self-addressed envelopes sufficient for mailing copies of
report cards. If the program fails to agree to send separate notices, ^ Mother ^ Father
will notify the other parent of school events and activities and will provide copies of
report cards within	days of receipt.
Both parents shall be informed of any school trips and activities in which parental
participation is permitted and ^ both parents shall attend, if they both desire to attend
-OR- ^ the parents shall alternate, with Mother attending the first activity day in even-
numbered _years and Father attending the first activity day in odd-numbered years.
At the beginning of a child's senior year, Mother and Father will discuss with the child
and consult with each other with respect to the post—high school education of the child,
and Mother and Father will discuss and attempt to come to an agreement on the costs, ii
not otherwise determined.
Mother and Father agree to the following about college education of the child[ren]:
Educational Expenses
^ Mother shall pay	% and ^ Father shall pay	% of the cost of
Private school tuition
Private school room and board
All other expenses associated with school activities including:
^ uniforms, ^ class trips, ^ activity fees, ^ book fees,
^ fees for AP classes. ^ transnortation
The provision of education expenses will be considered child support and enforceable a
such
Extracurricular Activities
The parents agree not to give permission to the child[ren] to engage in social activities
that occur while the child[ren] [is/are] with the other parent.
^ Mother ^ Father shall have the right to enroll the child[ren] in	(number)
extracurricular activities (including without limitation sports teams, music lessons,
scouts, and the like) that may occur partially while the child[ren] [is/are] with the other
parent, and the other parent agrees to make his or her best efforts to get the child[ren]
and from those activities during that time.
The parents shall agree before enrolling the child[ren] in extracurricular activities that
may occur partially while the child[ren] [is/are] with the other parent, and, if the parenti
are agreed, they shall make their best efforts to get the child[ren] to and from those
activities when the child[ren] [is/are] with that parent.
Each parent shall make a good-faith effort to give information to the other parent about
events and activities in the child[ren]'s life like school programs, concerts, award
ceremonies, plays, sports events, and other events or activities in which the child[ren]
[is/are] participating.
Both parents will encourage the child[ren] to engage in the following extracurricular
activities:
Activities for _	(child's name):
r-\ctivities ror 	cniia s name):
Activities for	(child's name):
Extracurricular expenses shall be paid by:
^	Mother
^	Father
^	Split as follows:	% by Mother and	% by Father
^	The parent who enrolled the child
Health Care
^	The child[ren] will be cared for by the following health-care providers:
Physician: Dentist:
Orthodontist:
Therapist: Other:
^		Each parent will deliver the medications of the child[ren] to the other parent at the beginning of the other parent's parenting time, unless the medications have been divides by the pharmacist into two containers that provide appropriate dosages and administrations to cover the time with each parent or unless two prescriptions can be obtained.
^	Each parent will inform the other of regular health-care appointments in advance, and
hnth may gttpnci
Religious Upbringing
The parents acknowledge the right of each parent to freely exercise his or her religion of
choice with the child[ren].
Each parent will notify the other of any significant event in the religious life of the
child[ren], and the parents shall both be given the opportunity to attend.
Before any change in the religious affiliation of a child, the parents will consult in
advance, discuss the change with the child, and attempt to reach an agreement with
respect to such a change.
If there is no agreement to change the religious affiliation of the child[ren], each parent
will decide what religious activities and practices the child[ren] will participate in durin
that parent's parenting time periods.
Summer Camp
The parents agree not to enroll the child[ren] in summer camp(s) that occur while the
child[ren] [is/are] with the other parent.
^ Mother ^ Father shall have the right to enroll the child[ren] in summer camp as long
as it does not interfere with the other parent's extended summer possession.
The parents shall agree before enrolling the child[ren] in summer camp.
Summer camp expenses shall be paid by:
^	Mother
^	Father
^	Split as follows:	% by Mother and	% by Father
^	The parent who enrolled the child
Communication with the Child[ren] While with Other Parent
^	The child[ren] may telephone and e-mail the other parent whenever the child[ren}
want[s].
^	The child[ren] may telephone the other parent at the following times:
-OR- ^ at least	times a week.
^	The parent who is not with the child[ren] shall make an effort to talk at least
times a ^ week ^ month by calling the child[ren] at reasonable times.
^	The parent who is with the child[ren] shall make the child[ren] available by telephone
from	to	^ each day -OR- ^	so tha
the other parent may talk to the child[ren].
^		If a message is left from the parent who is not with the child[ren], the other parent shall assist the child[ren] in returning the call.
^	Reasonable times to call the child[ren] at the other parent's home are:
^ between 8 A.M. and 8 P.M.
^ between	^A.M. ^P.M. and	^A.M. ^P.M.
^	Telephone calls and other communication shall not be monitored by the other parent
unless either believes in good faith that a child is having a problem, in which case the parent shall advise the other parent that the call or other communication is being
mnnitnred
^		Telephone contact with the other parent shall not exceed	minutes in a 24-hour time frame.
Right of First Refusal
^ If a parent will be absent for more than while the child[ren] [is/are] in that parent's care, then that parent shall notify the other parent, and the other parent will have the right to care for the child[ren] during that absence.
^		However, this right of first refusal is not required to be offered if the child[ren]'s care is being provided by
Child Care
^		Subject to any right of first refusal, each parent shall be responsible for his or her own temporary babysitting arrangements, when such care is provided, as long as the following conditions are met:
^		Each parent shall inform the other parent from time to time of the contact information fo: any and all persons or programs who may provide care for the child[ren].
^		Each parent has the right to communicate with the person who is providing care for the child[ren].
^	The following shall not be allowed to provide child care for the child[ren]: babysitters
under the age of	and
Extended Family
^		If either parent becomes incapacitated or dies, the other parent shall ensure that the child[ren] continue to have contact with the extended family of that parent, including the
following:
Exceptions
Morality Clause
^		The parents agree that no unrelated person of the opposite sex with whom the parent is involved in an intimate relationship shall spend the night when the child[ren] [is/are] in
the parent's care, unless
(insert acceptable conditions).
Behavioral Management
^	The parents agree to the use the following strategies for managing the child[ren]'s
behavior:
^	Each will inform the other by means of a written list of the basic expectations for
behavior (house rules) with which the child[ren] [is/are] expected to comply when
spending time with that parent. ^	Other agreements:
Injunctions
^		The parties agree that the following permanent mutual injunction(s) shall be entered and that they each waive issuance and service of writ on those injunctions:
^		Mother; her agents, servants, employees, and attorneys; and any person acting in concert or participation with them shall be permanently enjoined from:
^	Making disparaging remarks about Father or Father's family to the child[ren] or
in the child[ren]'s presence or hearing
^	Communicating in person, by telephone, or in writing with Father in a vulgar,
obscene, harassing, or offensive manner
Ii		Consuming alcohol during or within	hours before any period of possession of the child[ren]
W		Using the child[ren] as messengers to convey information, ask questions, or set up parenting time changes.
^		Father; his agents, servants, employees, and attorneys; and any person acting in concert or participation with them shall be permanently enjoined from:
C		Making disparaging remarks about Mother or Mother's family to the child[ren] or in the child[ren]'s presence or hearing
N		Communicating in person, by telephone, or in writing with Mother in a vulgar, obscene, harassing, or offensive manner
or
Consuming alcohol during or within
of the child[ren]
hours before any period of possession
^	Using the child[ren] as messengers to convey information, ask questions, or set up
parenting time changes.
Family Violence and/or Child Abuse and Neglect and/or Alcohol and/or Substance Abuse: ^	The parents agree to the following because of past circumstances involving:
^	family violence and/or child abuse and neglect
^	alcohol or substance abuse
^		No report or record made available to ^ Mother ^ Father may include the address of tr other parent or the child[ren] if residing with the parent with the confidential address.
^	All caregivers shall be notified of any restrictions regarding contact with the child[ren].
^	^ Mother ^ Father shall have supervised parenting time with the child[ren]. The
parenting time shall be held at the following times:
^	And under the following directions:
^	The entire parenting time shall be supervised.
^	Only the following portion of the parenting time must be directly supervised: _
^	The length of parenting time shall be:
^	The parenting time shall be supervised by:
^	third party:
^	professional person/agency (specify):
^	mutually agreed third party
M Exchanges of the child[ren] shall be supervised by a mutually agreed upon:
^	third party:
^	professional person/agency (specify):
^	for the beginning of parenting time
^	for the end of parenting time
^	^ Mother ^ Father shall not have parenting time with the child[ren] at this time.
^	^ Mother ^ Father may maintain contact with the child[ren] through:
^ phone ^ letter ^ mail ^ other
^ daily ^ weekly
^	^ Mother ^ Father may not have contact at this time.
^	^ Mother ^ Father agrees to engage in counseling with:
^	^ Mother ^ Father agrees to engage in a custody evaluation with:
^	At the completion of the evaluation the provider shall submit a statement by affidavit
acknowledging:
^	the parent's fitness to resume contact
^	a recommendation for unsupervised parenting time
^	a recommendation for continued supervision under specified condition
^	^ Mother ^ Father shall continue to attend a twelve-step or similar program and provid
evidence to the other parent of such attendance.
^	^ Mother ^ Father shall modify her/his behavior around the child[ren] in the following
ways
^	He/she shall not operate a motor vehicle within
drugs or alcohol.
^	He/she shall not consume alcohol or drugs within
time with the child[ren].
hours after consuming
hours before spending
^	He/she shall not consume alcohol or drugs in the presence of the child[ren].
^	He/she shall not allow others to consume alcohol or drugs in the presence of the
child[ren].
^	He/she shall submit to a drug and alcohol screening performed by
on a	basis for	(time
period).
^	He/she shall do the following:
General Rules Regarding Parenting Times
At the beginning of a parenting time,	shall pick up the child[ren]:
^	at the residence of	-OR-
^	at the following location:
and	shall surrender the child to	at that time.
If a parenting time begins at the end of a child's school day, child:
^	at the child's school -OR-
^	at the location where the school bus takes the child -OR-
^	at the following after-school care location:
shall pick up if
or if school is not in session on that day, at the following location:
and	shall surrender the child to	under these circumstances.
If the child will not be in school on the day the parenting time begins, shall notify	in advance.
At the end of [his/her] parenting time,	shall:
^	surrender the child[ren] to	at	's residence -OR-
^	return the child[ren] to	's residence, except that if
and	live in the same county at the time an order is rendered and
remains in the county but	moves out of the
county, then, beginning on the date	moves,	shall
surrender the children to	at the residence of
If		's parenting time ends at the time a child's school resumes, shall deliver the child:
^	to school in time for the beginning of the child's school day -OR-
^	to	's residence at	. M.
y, to the roiiowing
at	. M.
If	's parenting time ends at the time a child's school resumes and for any
reason the child is not or will not be returned to school,	should immediately notify
^	the school
^	the following person:
that the child will not be or has not been returned to school.
If a child brings personal effects from one party's residence to another for parenting time, the party to whose residence the personal effects were brought
^	shall
^	needn't
ensure that the child returns to the other party's residence with the personal effects that were brought.
A party may designate as applicable.
should notify_ will be unable to exercise a period of
should notify_ will be unable to exercise a period ofto pick up and return the chile
on each occasion that s parenting time.
on each occasion that _'s parenting time.
The following should be ordered by the Court to
Future Disagreements
If future disagreement arises between the parents regarding this parenting plan, before the partb go to court, except in an emergency, they shall use the following dispute resolution process or
other dispute resolution process ^	Collaborative law
^	Mediation
^	Nonbinding arbitration
^	Binding arbitration
^	Parenting coordinator
^	(Other)
Agreement of Parties
We have agreed to the foregoing parenting plan and request the Court to make the plan an orde
of the Court.
Attorney for	Attorney for
Certificate of Service
I certify that a copy of this parenting plan has been delivered to counsel for the other parr in accordance with the Texas Rules of Civil Procedure on
Attorney for