Overnight Custody Agreement
Date:
Parent/Guardian 1 Name:
Parent/Guardian 2 Name:
Child(ren) Name(s):
Custody Details
Location of Overnight Stay:
Dates and Times of Overnight Custody:
Special Instructions or Terms:
Emergency Contact Information
Name:
Phone Number:
Relationship:
Agreement
Parent/Guardian 1 Signature
Date:
Parent/Guardian 2 Signature
Date: