ions sear DEC 28 2021 122621 PIERCE COUNTY, WASHINGTON ey DEPUTY Superior Court of Washington, County of Pierce In re: Petitioner/s (persan/s who stared this caso} No. 24 BOIWOF. Pedtinde Q. domes Parenting Plan And Respondent/s (other party/parties) (PPP / PPT / PP) t Caene_Z.0. doneS Clerk's action required: 1 Parenting Plan 4. This parenting plan is a (check one): [ } Proposal (request) by a parent (name/s): tis nota signed court order. (PPP) PX Court order signed by a judge or commissioner. This is a (check one): [ ] Temporary order. (PPT) by’ Final order. (PP) [ ] This final parenting plan changes the last final parenting plan. 2. Children ~ This parenting plan is for the following children: 1 ft dus. dontS_| Ho 3. Reasons for putting limitations on a parent (under RCW 26.09.191) a. Abandonment, neglect, child abuse, domestic violence, assault, or sex offense. {if a parent has any of these problems, the court must limit that parent's contact with ihe children and that parent’s right to make decisions for the chiltren, and may not require dispute resolution other than court.) “Rew 2500016, 181, 187.194 Parenting Pan Maneéstory Form (02/2021) p.tofte FL All Family 140[x¢ Neither parent has any of these problems. (Skip to 3.b.) [.] Aparent tras one or more of these problems as follows (check all that apply). [| Abandonment - (Parent's name) intentionally abandoned a child listed in 2 for an extended time. | | Neglect ~ (Parent's name): ae substantially refused to perform his/her parenting duties for a child listed in 2. [| Child Abuse - (Parent's name) (er someone living in that parent’s home) abused or threatened to abuse a child, The abuse was (check all that apply) [ [physical [ } sexual { ] repeated emotional abuse. [ | Domestic Violence - (Parent's name). (or someone living in that parent's home) has a history of domestic violence as defined in ROW 26.50.010. [| Assault-(Parent’smame); (or someone living in that parent's home) has assaulled or sexvally assaulted someone causing grievous physical harm, causing fear of such harm, or resulting in a pregnancy. [1 Sex Offense — [1 (Parent's name): has been convicted of a sex offense as an adult, {.] Someone tiving in (parent's name): 's home has been convicted as an adult or adjudicated as a juvenile of a sex offense, b. Other problems that may harm the chikiren’s best interests. (if'@ parent has any of these problems, the court may limit that parent's contact with the children and that parent's right to make decisions for the children.) PX Neither parent has any of these problems. (Skip to 4.) [1 Aparent has one or more of these problems as follows (check alt that apply). [| Neglect - (Parent's name) neglected his/her parental duties towards @ child listed in 2. (.) Emotional or physical problem - (Parent's name): has a long-term emotional ar physical problem that gets in the way of hisiher abilty to parent [ | Substance Abuse ~ (Parent's name) has a long-term problem with drugs, alcoho), or other substances thal gals in the way of his/her ability to parent [ | Lack of emotional ties - (Parent's name}. has few or no emotional ties with a child listed in 2 [ } Abusive use of conflict - (Parent's name) Uses conflict in a way that may cause serious dame development of a child listed in 2. { ] Withholding the child ~ (Parent's name). has kept the other parent away from a child fisted in 2 for a long time, without a The psychological RCW DELOOIS, 181, 787, 104 Parenting Mandatory Form (09/2023) p.2olte FLA Family 140129 * a) a pn 00d reason. {) Other (specify)e itations on a parent (4 Does not apply. There are no reasons for limitations checked in 3.a. or 3.b. above. (Skip to 5) [1 No ns despite reasons (explain why there are no limitations on a parent even though there are reasons for limitations checked in 3.8. or 3.b. above) [ ] The following limits or conditions apply to (parent's name). (check all that apply) (1 No contact with the children (.] Limited contact as shown in the Parenting Time Schedule (sections 8 — 11) below. [ ] Limited contact as follows (specify schedule, list all contact here instead of in the Parenting Time Schedule): [.] Supervised contact, All parenting time shall be supervised, Any costs of supervision must be paid by (name): The supervisor shail be: { ] a professional supervisor (name): [} anon-professional supervisor (namo): The dates and times of supervised contact will be: (-] as shown in the Parenting Time Schedule (sections 8 - 11) below. {| as fotlows (specify) (Spesitic rules for supervision, if any): [ ] Other imitations or conditions during parenting time (specify): N evatuaton or treatment required. (Name) ows Jonts must [ ] be evaluated for: 6 starl (or continue) and comply with treatment { ] as recommended by the evaluation x as follows (specily kind of iregtment and any other details) wl any trestrct Loe luigi AS Kawared 20-F Oly -d [_] provide a copy of the evaluation and compliance reports (specify details): ROW 26.00076, 181, 767, 104 ~ Pavoating Plan Maruatory FLAIl Family 140 10 (03/2021) pdoht" a ° 4 a ° a a a I this parent does noLfotia (what happens). i 5. Decision-making Panreritiiy POX kw) When the children are with you, you are responsible for them. You can make day-to-day decisions for the children when they are with you, including decisions about safety and emergency health care. Major decisions must be made as follows: ions about the children? a, Who can make major dec | Type of Major Decision | Joint {parents make these (only the parent named below has _| ns together authoriy to ma haan): | Heath care (ao! emergency) [Li (Name) [Other [1 Nemey thee i (Other: ___ Aj. piNamee ae b. Reasons for limits on major decision-making, if any: (4 There are no reasons to limit major decision-making [.] Major decision-making must be limited because one of the parents has problems as described in 3.a, above. [.] Major decision-making should be limited because (check ail that apply) { ] Both parents are against shared decision-making, [| One of the parents does not want to share decision-making and this is reasonable because of: [ ] problems as described in 3.b. above. [| the history of each parents participation in decision-making. (| the parents’ ability and desire to cooperate with each other in decision- making [| the distance between the parents’ homes makes it hard to make timely decisions together. 6. Dispute Resolution {important iter this parenting plan is signed by a judge or commssioner,#f you andthe her parent disagree about shared decisions or wha parts of his plan mean, the court may requie you to use a dispute | ‘resolution provider before going back to court. The court may only require a dispute resclution provider there | are no lnitions in 3.2, above. Ifa dispute resolution provider is checked below, the parents nvay, and sometnies nus, use this provide before ing a Petition to Chango a Parenting Pian or a Motion for | | Contemp! for at followin RCW 26.09.076, -i ‘Mandatory Form FLAN Farnily 140 a Pareining Plan p.doftd_ a. The parents will go to (check one): o { ] The dispute resolution provider below (before they may go to court) [J Mediation (mediator or agency name) [ ] Arbitration (arbitrator or agency name) [} Counseling (counsefor or agency name): fae It dispute resolution provider is not named above or if the named provider is no longer available, the parents may agree on a provider or ask the court to name one, Important! Unless there is an emergency, the parents must participate in the © dispute resolution process listed above in good faith, before going to court for disagreements about joint decisions or what parts of this plan mean. This section does not apply to disagreements about money or suppor (4 Court (without having to go to mediation, arbitration, or counseling), (if you check this box, skip to section 7 below and do not fil out 6.6.) b. If mediation, arbitration, or counseling is required, one parent must notify the other - parent by (check one): [ J certified mail [ ] other (specify): oi The parents will pay for the mediation, arbitration, or counseling services as follows ‘ (check one): ai 11 (Name): will pay___%, | (Name). will pay_% i (1 based on each parents’ Proportional Share of Income (percentage) from line 6 of the i Child Support Worksheet : [1 a8 decided through the dispute resolution process. What to expect in the dispute resolution process: + Preference shall be given to carrying out the parenting plan * If you reach an agreement, it must be put into writing, signed, and both parents must got a copy. ‘+ Ifthe court finds that you have used or frustrated the dispute resolution process, without a good reason, the court can order you to pay financial sanctions (penallies) including the other parent's legal fees. * You may go back to court ifthe dispute resolution process doesn't solve the disagreement or if you disagree with the arbitrator's decision. 7. Custodian ‘The custodian is (name Sones solely for the purpose of all state and federal statutes which require a designalion or delermination of custody. Even though one parent is called the custodian, this does not change the parenting rights and responsibilities described in this plan. (Washington favr generally refers to parenting time and decision-making, rather than custody. However, some Slate and federal laws require thet one person bo nanied the custodian, The custodian is the person with \whom the children are scheduled to reside a majorly of ther tne.) ROW AICTE, 181, 17, 1a Parenting Plan Mandatory Foren (03/2021) p. Sorte FL All Family 140* 4 > Parenting Time Schedule (Residential Provisions) ° Check one: [ ] Limited schedule only ~ The children live with (name). and have no contact with the other parent excep! as described in seclion 4 (You may skip the parenting ime schedule in sections 8 ~ 14, unless you want a different ‘Summer or Holiday schedule, including to give uninterrupted time for vacation and holidays o to the parent not subject to limitations.) % o [] Complete the parenting tine schedule in sections 8~ 11, 8. School Schedule a. Children under school-age 4 [ ] Does not apply. All children are school-age. [ ] The schedule for children under school-age is the same as for school-age children, a [ ] Children under school-age are scheduled to live with (name): Se shinne. 8 “DES 7 except when they are scheduled to live with (name) on g (check all that apply) b{ WEEKENDS: | every week [ ] every other week [ J other (specify): from (day) at__:__m.to (day) alm. from (day) at__:__m, to (day) atm, [] WEEKDAYS: | Jeveryweek [ ] every other week [ ] other (spect: from (dey) at__:____.m. to (¢ay) aie eee from (day) at__:___m.to (day) el ee eee (] OTHER (specityy Pq Other (soeciyy:_ 2D weekend oor of ne nonin You { aare QOS Nee sreseeeeeee eeeEC Segre EPPEEEE ECT EEETSPEEEECEEE b, School-age children This schedule will apply (check one): [| immediately Def when the youngest child enters (check one): PxfKindergarten [ ] 1st grade [ ] when the oldest child enters (check one): [ ] Kindergarten [ ] 1st grade (Other The children are scheduled to live with (name) Qexinae LW. snes except when they are scheduled to live with (naihe): ae h ¢ jaeS_ on (check all that apply) ROW 2609018, 181, 187, 184 Parenting Plan Mandatory Form (03/2021) p.Bofta FL All Family 140o |] WEEKENDS: { J every week [ J every other week [ J other (speciy) from (day) at__:___m. to (day) al m. from (day) at m. 10 (day)__at [ ] WEEKDAYS: | | every week [ ] every other week [ ] other (specity): from (day) at____.m. to (day}_ ats. from (day) __ at__;___m, to (day)_____at__s Pf OTHER (spect): Eve B vee\ens N. — month fam Exidou, Se Hae e0_oth aS a () Other fspecnyy; «AOR 9. Summer Schedule Summer begins and ends )y’according to the schoo! calendar. f} as follows: 2) v Hoveed simes between gare [ ] The Summer Schedule is the same as the School Schedule. (Skip to 10.) { } The Summer Schedule is the same as the School Schedule except thal each parent shall spend weeks of uninterrupted vacation time with the children each summer. The parents shall confirm their vacation schedules in writing by the end of (date)___each year. (Skip to 10) [.] The Summer Schedule is different than the School Schedule. The Summer Schedule will begin the summer before (check one}: { } the youngest child [ J the oldest child [each chitd begins (check one): [ |Kindergarten { ] 1st grade | J Other During the summer the children are scheduled to live with (nama) except when they are scheduled to live with (name): (check all that apply): (] WEEKENDS: [ J every week [ ]every other week [ ] other speoiy) from (day) at Mm. to (day) at ™ from (eoy) at__2___m. to aay) atm (] WEEKDAYS: [ Jevery week [ Jevery other week [ J other /specity from (ay at__:__m. to (day) at n from (sey) at M.to (day) at m [] OTHER (specify: ROW 26.00.07, 181, 187, 101 Parenting Pan Mandatory Fores (08/2027) p.Toftd FL All Family 140di ° rs o ° 410. Holiday Schedule (includes school breaks and special occasions) Of The Holiday Schedule is the same as the School and Summer Schedules above for al holidays, school breaks, and special occasions. (Skip to 11) [|] The children are scheduled to spend holidays, school breaks, and special occasions as follows: (Check all that apply. Note any diferences for children who tiave nol yo stated school) {.] Martin Luther King Jr. Day — Begins and ends (day/time [ ] Odd years with (name): Even years with the other parent. [ } Every year with (name): [.] With the parent who has the children for the attached weekend (] Other plan: {] Presidents' Day — Begins and ends (day/time): [J Odd years with (name): Even years with the other parent. [) Every year with (name): [.] With the parent who has the children for the altached weekend [} Other pian: i [ ] Mid-winter Break ~ Begins and ends (dayhime): [] Odd years with (name): [.} Every year with (name [_] Each parent has the children for the half of break altached to his/her weekend, The children must be exchanged on Wednesday at (time) (1 Other plan: [ ] Spring Break - Begins and ends (day/time) { ] Odd years with (name): Even years with the other parent. { ] Every year with (name): [ ] Each parent has the children for the haif of break attached to his/her weekend, The children must be exchanged on Wednesday at (time) Even years with the other parent [J Other plan [| Mother's Day ~ Begins and ends (daytime) [.} Odd years with (name) Even years with the other parent (1 Every year with (name) ( ] Other pian: [| Memorial Day ~ Begins and ends (day/tine): [ ] Odd years with (name): Even years with the other parent [ ] Every year with (name): [| With the parent who has the children for the attached weekend [ ] Other pian 1] Father's Day — Begins and ends (daytime) ROW 2600076, 181, 187,104 Parenting Pian Mandatory Forrn (08/2021) p. Bolts FLAN Family 140ra 0 { ] Odd years with (name): Even years with the other parent. { ] Every year with (name) { ] Other plan [ | Fourth of July - Begins and ends (daytime): (.} Odd years with (name): Even years with the other parent [ ] Every year with (name) [J Follow the Summer Schedule in section 9. [] Other pian: ___ [ } Labor Day - Begins and ends (daytime): [ ] Odd years with (name): [] Every year with (name): [ ] With the parent who has the children for the attached weekend. [) Other pian: ven years with the other parent. a [ ] Thanksgiving Day / Break - Begins and ends (day/time}: [] Odd years with (name) Even years with the other parent, a [] Every year with (name) 7 {} Other plan: [] Winter Break - Begins and ends (day/time) [ ] Odd years with (name): ; Even years with the other parent. [] Every year with (name) (J Other plan: L] Christmas Eve / Day - Begins and ends (daytime) {] Odd years with (namey : Even years with the other parent. [] Every year with (name) [ ] Follow the Winter Break schedule above. (.) Other plan: [ ] New Year's Eve / Day - Begins and ends (daytime): {oddewen is based on New Year's Eve) [ ] Odd years with (name} ; Even years with the other parent. [ | Every year with (name) ROW OG, THT, TSF, 108 Parenting Paw Mandatory Form (02/8021) p. Soft FL All Family 140a ° et a al [ | Follow the Winter Break schedule above, [1 Other pian: [ ] All three-day weekends not listed elsewhere (Federal holidays, school in-service days, etc) (J The children shall spend any unspecified holiday or non-school day with the parent who has them for the altached weekend, [.] Other plan: | Important! Families in Washington observe a broad range of religions and traditions. Your Parenting | Plan can provide for how children wil spend time on other significant days. (Examples: Ele, Passover, | Easter, Chinese New Year, hithdays,efc.) Add lines as needed. [.] Other occasion important to the family: [ ] Begins and ends (daytime): [ 1 Odd years with (name): ; Even years with the other parent [.] Every year with (name): [J Other plan [_] Other occasion important to the family: [| Begins and ends (day/time}: [] Odd years with (name): ; Even years with the other parent. [.] Every year with (name): {1 Other plan: [ ] Other occasion important to the family: BEE { ] Begins and ends (day/time): a [ ] Odd years with (name): Even years with the other parent. [ ] Every year with (name): [] Other plan 41, Conflicts in Scheduling ‘The Holiday Scheduls must be observed over all other schedules. If there are conflicts within the Holiday Schedule (check aif that apply). 4 Named holidays shall be followed before schoo! breaks [ ] Children’s birthdays shal be followed before named holidays and school breaks. [ 1 Other (specity) 5.187, 187,196 Parenting Plan Mandatory Foren (09/2021) p.t00t 14 FL AI Famity 1400 a a ® ® 412. 13. Transportation Arrangements The children will be exchanged for parenting time (picked up and dropped off) at; [ ] each parent's home [X school or daycare, when in session bi other location (speci: AY Ade. Xe Ceres Secminals whey \S_ closer ky aca pax a Who is responsible for arranging transportation? Df The picking up parent ~ The parent who is abou! to start parenting time with the children must arrange to have the children picked up. [ ] The dropping off parent ~ The parent whose parenting time is ending must arrange to have the children dropped off Other details (ify): Moving with the Children (Relocation) Anyone with majority or substantially equal residential time (at least 45 percent) who wants to move with the children must notify every other person who has court-ordered time with the children, Move to a different school district If the move is to a different school district, the relocating person must complete the form Notice of Intent fo Move with Children (FL Relocate 701) and deliver it at least 60 days before the intended move. Exceptions: = Ifthe relocating person could not reasonably have known enough information to complete the form in time to give 60 days’ notice, s/he must give notice within five days after learning the information. ‘If the relocating person is relocating to a domestic violence shelter or moving to avoid a clear, immediate, and unreasonable risk to health or safely, notice may be delayed 21 days. * {finformation is protected under a court order or the address confidentiality program, it may be withheld from the notice. * A relocating person who believes that giving notice would put her/himself or a child at unreasonable risk of harm, may ask the cour! for permission to leave things out of the notice or to be allowed to move without giving notice. Use form Motion 0 Limit Notice of Intent fo Move with Chilaren (Ex Parte) (FL Relocate 702). ‘The Notice of inlent fo Move with Childron can be delivered by having someone personally serve the olher party or by any form of mail that requires a return receipt If the relocating person wants to change the Parenting Plan because of the move, s/he must deliver a proposed Parenting Plan together with the Notice. RCW 2508016, 181, 187, 10 ing Plan Mandatory Form (09/2027) ptt ortd FLAN Family 1402 i % Move within the same school district If the move is within the same school district, the relocating person still has to let the other parent know. However, the notice does not have to be served personally or by mail with a return receipt. Notice to the other party can be made in any reasonable way. No specific form is required. Warning! If you do not notify... ‘Arelocating person who does not give the required notice may be found in contempt of court. Ifthat happens, the court can impose sanctions. Sanctions can include requiring the relocating person to bring the children back if the move has already happened, and ‘ordering the relocating person fo pay the other side's costs and lawyer's fees. Right to object ‘A person who has court-ordered time with the children can object to a move to a different ‘schoo! district and/or to the relocating person’s proposed Parenting Plan. If the move is within the same school districl, the other party doesn't have the right to object to the move, but s/he may ask to change the Parenting Plan if there are adequate reasons under the modification law (RCW 26.09.260). ‘An objection is made by filing the Objection about Moving with Children and Petition about Changing a Parenting/Custody Order (Relocation) (form FL Relocate 721). File your Objection with the court and serve a copy on the relocating person and anyone else who hhas court-ordered time with the children. Service of the Objection must be by personal service or by mailing a copy to each person by any form of mail that requires a return receipt. The Objection must be filed and served no later than 30 days after the Notice of Intent fo Move with Children was received. Right to move During the 30 days after the Notice was served, the relocating person may not move to a different schoo! district with the children unless s/he has a court order allowing the move. After the 30 days, if no Objection is filed, the relocating person may move with the children without getting @ court order allowing the move. ‘Afior the 30 days, if an Objection has been filed, the relocating person may move with the children pending the final hearing on the Objection unless: + The other party gets a court order saying the children cannet move, or » The other party has scheduled a hearing to take place no more than 15 days after the date the Objection was served on the relocating person. (However, the relocating person may ask the court for an order allowing the move even though a hearing is pending if the relocaling person believes that sihe or a child is at unreasonable risk of harm.) ‘The court may make a different decision about the move ata final hearing on the Objection. Parenting Plan after move If the relocating person served a proposed Parenting Plan with the Notice, and if no Objection is filed within 30 days afler the Notice was served (or if the patties agree) + Both parties may follow that proposed plan without being held in contempt of the Parenting Plan that was in place before the move. However, the proposed plan cannot be enforced by contempt unless it has been approved by a court + Either party may ask the court to approve the proposed plan, Use form Ex Parte HCW 26.09076, 181, 187, 194 Parenting Plan Mandatory Form (0472021) 1201 14 FL All Family 140Motion for Final Order Changing Parenting Plan ~ No Objection to Moving with Children (FL Relocate 708). Forms You can find forms about moving with children at + ‘The Washington State Courts’ website: www.courts. wa gov/forms, * Washington LawHelp: wwnw.washingtonlawhelp.org, or A + The Superior Court Clerk's office or county law library (for @ fee). ® (This is @ summary of the law. The complete law is in RCW 26.09.430 through 26.09.480.) a a 14, Other 15. Proposal bq Does not apply. This is a court order. [_] This is a proposed (requested) parenting plan. (The parant/s requesting this plan must read and sign below.) af | declare under penalty of perjury under the laws of the state of Washington that this, ‘aith and that the information in section 3 above is true. roposed i einen Iee Gdns Paennerton wie Signed al (cily erfd state) Parent requesting plan ages here ‘iter paront requesting plan (Tagreod) signs here Signed at aly and stat) » 416. Court Order (.] Does not apply. This is a proposal ¢/ This is @ court order (it signed by a judge or commissioner below). Findings of Fact - Based on the pleadings and any other evidence considered The Court adopts the statements in section 3 (Reasons for pulting limitations on a parent) as ils findings. Ad The Court makes additional findings which are: } contained in an order or findings of fact entered at the same time as this Parenting Plan, [ ] allached as Exhibit A as part of this Parenting Plan. [ ] other Conclusions of Law ~ This Parenting Plan is in the best interest of the children. {| Other 2N Cour FLED Order ~ The parties must follow this Parenting Play CLERK 5 cn 12{4{ 700A it Dae sioner sans are ECO pyyp CL 8y, Ww, - MING, ROW 26.05.016, 181, 187,194 Parenting Plan Ow Manclatry Form (0178023) p 130! 14 FL All Family 140 KAREN WATSON JISMJABS Reviewed COURT COMMISSIONER{ Waring! i you do not follow this Parenting Plan, tre court may find you in conterpk (RCW | 26.08.160). You stil have to fllow this Parenting Plan even if the other parent doesn't. | Violation of residential provisions ofthis order wih actual knowledge ofits terms is punishable by | contempt of court and may bea eiinal alfense under RCW 9A.40060(2} or 9.40.070(2) i [Violation ofthis order may subject a violator to rest. If this is a court order, the parties and/or their lawyers (and any GAL) sign below Thys order (chock any that apply) This order (check any that opel): Difis an agreement ofthe partes. Peis an agreement of the partes. (is presenied by me, {Jis presenied by me. [ Imay be signed by the court without notice to me. [ ] may be signed by the court without notice to me. Pon au a et ON ag Tila rad nea SEE a ee er a This order (check any that apply): This order (check any that apply): S { Jis an agreement of the parties. [ | Is an agreement of the parties. a [Js presented by me. [ is presented by me, if [ 1 may be signed by the court without notice to me. [ | may be signed by the court without notise to me, ‘y » » a (Oliver party or lawyer signs here + WISEA # (Oitier parly or Guardian ad Litem signs here Pritam Dale Pint Name Dae Nandatory orm (02/3621) pidotts FL All Family 140