THIS AGREEMENT is made ..................................... day of ....................................200X.
BETWEEN JOSEPH BLOGGS of 1 Collins Street, Canterbury in the State of
Victoria, School Teacher (“Joseph”)
AND MARY BLOGGS of 2 Bourke Street, Burwood in the State of Victoria
We were married on 30 May, 1981.
Joseph was born on 12 December, 1965 in Geelong Victoria and Mary was born on 26
March, 1969 in Melbourne Victoria.
We have two children under the age of 18 years namely:-
JOHN JOSEPH BLOGGS born 4 September, 1993 and BETTY JANE BLOGGS born 16
September, 1995 (“the children”).
Cohabitation between us ceased on 12 February, 2001 and a decree nisi of dissolution of
marriage was granted at the Family Court of Australia at Melbourne in September, 2002.
We both continue to live in Australia.
Orders were made by consent in the Family Court of Australia at Melbourne on 15 May,
2003 regarding the custody, guardianship and access of the children.
We wish to make this parenting agreement which provides for the children in relation to
their welfare and for their maintenance.
WE AGREE AS FOLLOWS:
The Orders made by consent in the Family Court of Australia at Melbourne on 15 May
2003 be discharged.
The children will reside with Joseph as follows:-
The child Betty each alternate week during shcool term from the end of school on Monday
until the end of school the following Monday or until the end of school on Tuesday when
Monday is a public holiday.
The child John each alternate weekend from 3.30 p.m. Friday to 3.30 p.m. Monday
commencing 19 May, 2003 to coincide with the weekend Betty is with Mary.
The school term holidays as follows:-
One half of term one, being the first half when it coincides with the weekend Betty would
otherwise reside with Mary.
All of term two during 2003.
All ofterm three from 2004 onwards.
Summer term holidays (from 19 December, 2003 to 30 January 2004) the children to reside
with Mary from 19 December, 2003 until 5.00 p.m. on 11 January, 2004, and the children
to reside with Jospeh until the end of school on the first day of term.
For the summer holidays commencing in December, 2004 the children are to reside with
Jospeh for the same time as Mary in 2003, with the arrangement to alternate each year.
On Christmas Day, the children will reside with Mary from 5.00 p.m. on 24 December,
2003 to 12.30 p.m. on 25 December, 2003 and each alternate year;
The children will reside with Jospeh from 5.00 p.m. on 24 December, 2004 to 12.30 p.m.
on 25, 2004 and each alternate year;
The children will reside with Mary at all other times.
Detailed provision can also be made, for example:
Special weekday/weekend arrangements
Special days such as birthdays
We agree that the children shall not be taken interstate or overseas, without prior
consultation and agreement.
Joseph will maintain health insurance over for the children (“health insurance”) until such
time as they atttain the agre of 18 years.
All medical and dental expenses in respect of the children not covered by health insurance
will be shared equally between Joseph and Mary.
Joseph will pay one half of the shcool fees in respect of the children’s primary and all
secondary school fees.
Joseph may contact the children by telephone when the children are residing with Mary
each Tuesday evening between 7.00 p.m. and 7.30 p.m.
On the last Sunday of each month the children will have contact with the mother’s parents,
June and Samuel Jones from 10.00 a.m. to 5.00 p.m.
The parent with whom the children are living with on that occasion will deliver the children
to Mr & Mrs Jones at 10.00 a.m. and collect them from Mr & Mrs Jones at 5.00 p.m.
The children will have contact with the husband’s parents Frederick and Jane Bloggs on
each of their respective birthdays at times to be agreed between the mother and father.
Other Aspects of our Parental Responsibility
The children will be known by the surname of Bloggs.
The children will be instructed in the Roman Catholic faith and will attend a Roman
Catholic Primary School and a Roman Catholic Secondary School.
We intend that this part of the agreement will be registered with the Family Court at
Melbourne pursuant to Section 63H of the Family Law Act 1975 and we acknowledge that
this part of the agreement is so far as it relates to arrangements for the children can be
varied by a further agreement or order of the Court if:
the concurrence of one of us was obtained by fraud or untrue influence;
we want the agreement set aside; or
it is in the best interests of our children to set aside the agreement.
STATEMENT OF OUR INTENTIONS AS PARENTS
All changes to this plan will be by agreement between us.
We will attempt to resolve any disputes between ourselves but in the absence of agreement
we will attend upon the ABC Family Mediation Service, and the cost of such
mediation/counselling will be borne by the parent requesting the mediation or jointly if we
agree to share the expense.
We wish to co-operate with one another in making the plan work for the benefit of the
children and to consult one another on all major issues.
We acknowledge that the responsibility of caring for the children will be our joint
We agree to consult with our children where appropriate.
We agree as follows:-
Jospeh shall have the choice of where John is to attend secondary schooling. We shall
agree on the choice of secondary schooling for Betty.
The children shall not be removed from school by either of us for any period other than for
periods of illness without the prior consent of the other parent.
Extra curricular activities
Extra curricular activities are to be agreed by us prior to the children attending if these
activties involve both of us. Othewise, we are each free to undertake no more than 3 extra-
curricular activities for the children without consulting the other parent.
Fees for extra-curricular activities currently undertaken by both children are to be paid by
Joseph. Any further activities are tobe paid by the parent organising them.
We agree that we will refrain from contacting the children, either in personk, by telephone
or in any other way, when the children are in the care of the other parent without making
prior arrangements with the other parent, except for school activities.
Mary will be responsible for Betty’s hairdressing, and Joseph will be responsible for John’s.
The children will be free at their discretion to take their bikes and toys with them between
Wherever practical, the children shall attend the same doctor or medical clinic.
The children’s medical records shall be available to both of us.
In the event that one of the children suffers from ill health, the parent with whom the
children is residing shall notify the other parent immediately, whether or not the child is in
need of medical attention.
The children shall not undergo elective medical procedures without the prior consent of
both of us.
Other Living Arrangements
If the parent with whom the children are to live for a particular period is unable to do so,
then the other parent has priority over a babysitter or other friends or relatives.
In the event that there are changes in the schedules times the children are to live with each
of us then we will arrange immediate substitute times of equal length that will be subject to
our mutual approval.
In the event that either of us proposes to take the children interstate or overseas, we shall
provide each other with a detailed itinerary of the proposed travel arrangements, such
itinerary to be prepared by a travel agent.
In the event that one of us is to be interstate, overseas orabsent from the home overnight,
the children are to be returned to the care of the other parent for the period in which that
party is tobe absent from the hom.
Transport to medical or dental appointments will be the responsibility of the parent with
whom the children are living.
All day to day decisiolns for the children will be the responsibility of the parent with shom
the children are living.
We will have equal access to all health and school records of the children.
We agree to meet once a month at Cafe “X” to discuss the children’s welfare.
We agree to review this plan:
as our children’s needs change;
as our needs as parents change.
we agree to do this together and/or in the presence of a mediator.
In the event of one of our deaths, we agree that the children will live with the other parent.
DATED this ............................................ day of ....................................................... 200X.
Signature ................................................. Witness ................................................................
Signature .................................................. Witness ................................................................