Long-Distance Parenting Plan Template
Parent Information
Parent 1 Name:
Parent 2 Name:
Child(ren) Information
Full Name(s) and Date(s) of Birth:
Physical Custody Schedule
Details of Physical Custody (include holidays, vacations, school breaks):
Transportation Arrangements
How will the child(ren) travel between homes? Who is responsible?
Communication
How will the child(ren) communicate with each parent? (Method & Frequency):
Decision Making
How will parents share responsibility for important decisions (education, health, etc.)?
Travel Restrictions & Notifications
Are there any restrictions or required advance notifications for travel?
Dispute Resolution
How will disagreements or changes to the plan be addressed?
Additional Agreements
Other arrangements or special considerations:
Signatures
Parent 1 Signature:
Date:
Parent 2 Signature:
Date: