Visitation Rights Agreement

Date:
Agreement Number:

Parties

Parent/Guardian 1 Name:
Parent/Guardian 2 Name:
Child(ren) Name(s):

Agreement Details

Visitation Schedule:
Location of Visitation:
Transportation Arrangements:
Special Conditions:

Duration

Start Date:
End Date (if applicable):

Signatures

Parent/Guardian 1
Parent/Guardian 2
Date