Step-Parent Custody Agreement Form
Step-Parent Information
Full Name
Date of Birth
Address
Parent Information
Full Name
Date of Birth
Address
Child(ren) Information
Full Name
Date of Birth
Relationship to Step-Parent
Custody Arrangements
Type of Custody
Legal Custody
Physical Custody
Joint Custody
Sole Custody
Custody Terms & Provisions
Visitation Schedule
Details
Additional Agreements
Details
Signatures
Step-Parent Signature
Date
Parent Signature
Date
Witness (if applicable)
Date