The child shall be permitted to fly out of the following airports: ______________________________
___________________________________________________________________________________
The Local parent shall have the right to designate what airport(s) the child departs from in his or her
region.
The Away parent shall have the right to designate what airport(s) the child departs from in his or her
region.
The child shall never be booked on a flight with more than ________ connection(s).
√ Check all that apply
Restrictions for Out of Country Travel:
Is permitted when notice is provided to the other parent ________ days in advance. Such notice shall
provide the child(ren)’s itinerary, travel mode, address and contact information for each destination of
travel.
Is not permitted without the prior written consent of the other parent. Such consent shall provide the
child(ren)’s itinerary, travel mode, address and contact information for each destination of travel.
Travel is permitted only to countries that are signatory members of the Hague Convention on Civil
Aspects of Child Abduction.
If the other parent travels to such a country that is not a member of the Hague Convention, they shall
provide the non-traveling parent an open ended round trip airline ticket in case the child(ren) are not
returned.
15. TIME SHARING PLANS
√
Check one (excludes holidays and Summer Vacation)
Parent "A" is Away Parent.
Parent "B" is Local Parent
Fill in which days each Parent (A or B) will spend over night time with the child(ren):
Monday
Tuesday
Wednesday Thursday Friday
Saturday
Sunday
Week One
Parent __
Parent __
Parent __
Parent __
Parent __
Parent __
Parent __
Week Two
Parent __
Parent __
Parent __
Parent __
Parent __
Parent __
Parent __
Week Three
Parent __
Parent __
Parent __
Parent __
Parent __
Parent __
Parent __
Week Four
Parent __
Parent __
Parent __
Parent __
Parent __
Parent __
Parent __
Begins: √Check Beginning Time
End of school day
_____ p.m.
_____ a.m. on the day after the end of school day
Ends: √Check Ending Time
Beginning of school day
_____ p.m. on the day before beginning of school
If away parent is visiting within a 25 mile area of where the child(ren) are located, the away parent
shall have additional time sharing provided they have given _____ hours notice.
_______
______
Basic LDPP
Page 10 of 24
Mother
Father
Rev. 9/09/08