Physical Custody (where the child/ren live):
The child/ren’s residence is with:
Describe which days and which times of the day the child/ren will be with each person:
Sunday: _____
Monday: _____
Tuesday: _____
Wednesday: ___
Thursday: ___
Friday: _____
Saturday: ___
Describe where and when the child/ren will be dropped off and/or picked up (day and time of day):
Drop-Off:
Where:_____
When: ___
Pick-Up:
Where: ___
When: _____