Temporary Parenting Plan Page 2

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Designation of a temporary residence for the child(ren):
____________________________________________________________________
____________________________________________________________________
____________________________________________________________________
Allocation of parental rights and responsibilities regarding matters pertaining to each
child’s health, education and welfare:
____________________________________________________________________
____________________________________________________________________
____________________________________________________________________
____________________________________________________________________
Schedule for the child’s time with each parent, when appropriate:
____________________________________________________________________
____________________________________________________________________
____________________________________________________________________
____________________________________________________________________
Additional issues which the court enters into this temporary parenting plan:
____________________________________________________________________
____________________________________________________________________
____________________________________________________________________
____________________________________________________________________
__________________________________
Movant
APPROVED THIS _____DAY OF ___________________, 20______.
________________________________
DISTRICT JUDGE

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