Free Child Care Affidavit Template
Child Care Affidavit
Introduction
I, [Your Name], currently residing at [Your Address], in the County of [County], State of [State], do solemnly affirm and declare under penalty of perjury:
Statement of Facts
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I am the father of [Child's Name], born on [Child's Birthdate].
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The other parent of the child is [Mother's Name].
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Our child custody arrangements are as follows:
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Primary Custody: I, [Your Name], have been granted primary physical custody of the child, while [Mother's Name] has visitation rights. The child will reside with me for the majority of the time.
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Visitation Schedule: [Mother's Name] shall have visitation rights on alternating weekends, from Friday evening to Sunday evening. Additionally, visitation shall be granted on [Day] evenings, as well as during school breaks/holidays as outlined in the attached schedule.
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Holiday Schedule: Holidays and special occasions shall be alternated between the parents.
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Transportation: Both parents shall be responsible for transporting the child to and from visitation exchanges.
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Both parents agree to adhere to the terms outlined in this affidavit and understand that failure to comply may result in legal consequences.
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Any modifications to this custody and visitation agreement shall be made in writing and signed by both parties.
Oath and Affirmation
I affirm that the information provided in this affidavit is true and accurate to the best of my knowledge.
Signature
Signed and affirmed under oath this [Date] day of [Month], [Year] in [County], [State].
[Your Name]
Sworn to and subscribed before me this [Date] day of [Month], [Year].
[Notary Public Name]
My Commission Expires: [Notary Expiration Date]
