Child Care Schedule

Child Care Schedule

Date:
Care schedule proposed by __ Mother __ Father
For time children will be in the care of __ Mother __ Father

This schedule for the following children):

1. WEEKEND CARE will take place:

a. __every weekend __alternate weekends _____weekends per year.

b. A typical weekend care period will begin (day/time): __________

and end (day/time): _________, a total of ___days and ___hours.

2. MIDWEEK CARE will take place:

a. __every week __alternate weeks _____weeks per year.

b. A typical midweek care period will begin (day/time): __________

and end (day/time): _________, a total of ___days and ___hours.

3. SUMMER CARE will be ___weeks each summer:

During the summer care period, the parent with primary care will have the child(ren) for visits for a total of ___days and ___hours.

4. HOLIDAY CARE: For each holiday, simply indicate total (average) number of care days per year. Indicate if the holiday is to be alternated from year to year or split each year. If split, enter the time proposed for the split.


                       Std. School   Alternate    Split 

Holiday:                 Holiday       years     each year 

  Thanksgiving             4          ______      ______ 

  Spring break (Easter)    7          ______      ______ 

  New Year's break        14          ______      ______ 

  Labor Day weekend        3          ______      ______ 

  Memorial day weekend     3          ______      ______ 

  4th of July weekend      3          ______      ______ 


  Other holidays:
    1. _________________  __          ______      ______ 

    2. _________________  __          ______      ______ 

    3. _________________  __          ______      ______ 

    4. _________________  __          ______      ______