Mediation Agreement for Child Custody
1. Parties
Parent/Guardian 1 Name:
Parent/Guardian 2 Name:
Child(ren) Name(s) and Date(s) of Birth:
2. Custody Arrangement
Type of Custody (e.g., joint, sole):
Details:
3. Parenting Time/Visitation Schedule
Regular Schedule:
Holiday and Vacation Schedule:
4. Decision-Making Authority
Details (e.g., education, healthcare):
5. Communication
Agreed Methods/Rules for Communication:
6. Dispute Resolution
Process if Disagreements Occur:
7. Additional Agreements
Other Terms or Understandings:
8. Signatures
Parent/Guardian 1 Signature & Date
Parent/Guardian 2 Signature & Date
Mediator Signature & Date