Form 12.995(A) - Florida Supreme Court Approved Family Law - Parenting Plan Page 9

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2. Academic Break Definition
When defining academic break periods, the period shall begin at the end of the last
scheduled day of classes before the holiday or break and shall end on the first day of
regularly scheduled classes after the holiday or break.
3. Schedule Changes {Indicate all that apply}
a._____ A parent making a request for a schedule change will make the request as soon
as possible, but in any event, except in cases of emergency, no less than _____________
__________________before the change is to occur.
b._____ A parent requesting a change of schedule shall be responsible for any additional
child care, or transportation costs caused by the change.
c._____ Other {Specify}____________________________________________________.
VII. TIME-SHARING SCHEDULE
1. Weekday and Weekend Schedule
The following schedule shall apply beginning on ________________________ with the
_____ Mother _____ Father and continue as follows:
The child(ren) shall spend time with the Mother on the following dates and times:
WEEKENDS: _____ Every _____ Every Other _____ Other {specify} _____________
From____________________________ to _________________________________
WEEKDAYS: {Specify days} ______________________________________________
From _____________________________ to _______________________________
OTHER: {Specify} _____________________________________________________
___________________________________________________________________
___________________________________________________________________.
The child(ren) shall spend time with the Father on the following dates and times:
WEEKENDS: _____ Every _____ Every Other _____ Other {specify}______________
From____________________________ to _________________________________
WEEKDAYS: {Specify days} ______________________________________________
From _____________________________ to _______________________________
OTHER: {Specify} _____________________________________________________
___________________________________________________________________
___________________________________________________________________.
Please indicate if there is a different time sharing schedule for any child. Complete a
separate Attachment for each child for whom there is a different time sharing schedule.
_____ There is a different time-sharing schedule for the following child(ren) in
Attachment _________.
Florida Supreme Court Approved Family Law Form 12.995(a), Parenting Plan (11/15)

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