Temporary Child Custody Agreement

This Temporary Child Custody Agreement ("Agreement") is made on by and between:

Parent/Guardian 1	Parent/Guardian 2
Name: Address: Phone:	Name: Address: Phone:

1. Child Information

• Name:
• Date of Birth:
• Other children involved (if any):

2. Temporary Custody Term

This agreement shall commence on and shall remain in effect until , unless terminated or modified by a court order or mutual agreement in writing.

3. Custody and Visitation Arrangements

• Primary Physical Custody:
• Visitation Schedule:
• Exchange Location:

4. Parental Responsibilities

The parties agree to the following temporary allocation of parental responsibilities:

• Decision-making authority (health, education, etc):
• Communication between parents:
• Transportation arrangements:

5. Child Support (if applicable)

Child support arrangements (amount, frequency, and payment method):

6. Medical and Insurance Information

Details of health insurance coverage and medical care responsibilities:

7. Additional Agreements

8. Signatures