Child Visitation Agreement Template

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Updated – 2025 /2026


Disclaimer

The information provided is intended solely as a general example for creating documents related to child visitation arrangements. It does not constitute legal advice and should not be relied upon as a substitute for consulting a qualified attorney specializing in family law or custody matters. Laws and regulations may vary depending on the state or jurisdiction, and adjustments may be required to ensure compliance with local requirements. The use of this example is the sole responsibility of the user, and we assume no liability for any errors, omissions, or consequences arising from its use without professional review.


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This child visitation agreement sample may vary depending on specific circumstances and legal requirements. Adjust details accordingly for your situation.

Child Visitation Agreement Sample

Parties Involved:

Parent A: Sarah Johnson
Address: 789 Maple Road, Springfield, IL 62704

Parent B: Michael Lee
Address: 456 Oak Street, Springfield, IL 62705

Child Information:

Child’s Name: Emily Lee
Date of Birth: January 15, 2015

Visitation Schedule:

The non-custodial parent shall have visitation with the child as follows: Starting on __________________, and continuing according to the schedule agreed upon, which includes alternating weekends from Friday at 6:00 PM to Sunday at 6:00 PM, and alternating holidays and summer vacations.

Responsibilities of Each Parent:

Both parents agree to communicate respectfully regarding visitation and to prioritize the child’s well-being and stability. Each parent shall ensure the child’s safety during exchanges and visitation periods.

Special Arrangements or Conditions:

Any specific instructions or arrangements, such as transportation responsibilities or restrictions, shall be detailed here.

Dispute Resolution:

In case of disagreements regarding visitation, the parties agree to seek mediation before pursuing legal action.

Springfield, ______________________

________________________
Sarah Johnson (Parent A)
________________________
Michael Lee (Parent B)