Child Questionnaire - thetexasdivorcelawyer.com

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Rights and Duties	Each has at all times	Each has during possession	Solely Mother	Solely Father	Each has independently	Each has by agreement	Consultation with other Conservator Required	Proposed or Agreed
Duty to inform the other parent in a timely manner of significant information concerning the health, education, and welfare of the child	Each has at all times	Each has during possession	Solely Mother	Solely Father	Each has independently	Each has by agreement	Consultation with other Conservator Required	ProposedAgreed
Duty to inform the other parent if the parent resides with for at least thirty days, marries, or intends to marry a person the parent knows is a registered sex offender or is currently charged with an offense that would require registration on conviction	Each has at all times	Each has during possession	Solely Mother	Solely Father	Each has independently	Each has by agreement	Consultation with other Conservator Required	ProposedAgreed
Right to receive information from the other parent concerning the health, education, and welfare of the child	Each has at all times	Each has during possession	Solely Mother	Solely Father	Each has independently	Each has by agreement	Consultation with other Conservator Required	ProposedAgreed
Right to confer with the other parent, to the extent possible, before making a decision concerning the health, education, and welfare of the child	Each has at all times	Each has during possession	Solely Mother	Solely Father	Each has independently	Each has by agreement	Consultation with other Conservator Required	ProposedAgreed
Right to consult with a physician, Dentist, or psychologist of the child and have access to medical records	Each has at all times	Each has during possession	Solely Mother	Solely Father	Each has independently	Each has by agreement	Consultation with other Conservator Required	ProposedAgreed
Right to consult with the school officials concerning the child’s welfare and educational status, including school activities and access to educational records	Each has at all times	Each has during possession	Solely Mother	Solely Father	Each has independently	Each has by agreement	Consultation with other Conservator Required	ProposedAgreed
Right to attend school activities	Each has at all times	Each has during possession	Solely Mother	Solely Father	Each has independently	Each has by agreement	Consultation with other Conservator Required	ProposedAgreed
Right to be designated on the child’s records as a person to be notified in case of an emergency	Each has at all times	Each has during possession	Solely Mother	Solely Father	Each has independently	Each has by agreement	Consultation with other Conservator Required	ProposedAgreed
Right to consent to medical, dental, and surgical treatment during an emergency involving immediate danger to the health and safety of the child	Each has at all times	Each has during possession	Solely Mother	Solely Father	Each has independently	Each has by agreement	Consultation with other Conservator Required	ProposedAgreed
Right to manage the child’s estate to the extent the estate has been created by the parent or the parent’s family	Each has at all times	Each has during possession	Solely Mother	Solely Father	Each has independently	Each has by agreement	Consultation with other Conservator Required	ProposedAgreed
Duty of care, control, protection, and reasonable discipline of the child	Each has at all times	Each has during possession	Solely Mother	Solely Father	Each has independently	Each has by agreement	Consultation with other Conservator Required	ProposedAgreed
Duty to support the child, including providing the child with clothing, food, shelter, and medical and dental care not involving an invasive procedure	Each has at all times	Each has during possession	Solely Mother	Solely Father	Each has independently	Each has by agreement	Consultation with other Conservator Required	ProposedAgreed
Right to consent for the child to medical and dental care not involving an invasive procedure	Each has at all times	Each has during possession	Solely Mother	Solely Father	Each has independently	Each has by agreement	Consultation with other Conservator Required	ProposedAgreed
Right to direct the moral and religious training of the child	Each has at all times	Each has during possession	Solely Mother	Solely Father	Each has independently	Each has by agreement	Consultation with other Conservator Required	ProposedAgreed
Duty to make periodic child-support payments to the other conservator	Each has at all times	Each has during possession	Solely Mother	Solely Father	Each has independently	Each has by agreement	Consultation with other Conservator Required	ProposedAgreed
Right to establish the primary residence of the child	Each has at all times	Each has during possession	Solely Mother	Solely Father	Each has independently	Each has by agreement	Consultation with other Conservator Required	ProposedAgreed
Right to consent to medical, dental, and surgical treatment involving invasive procedures and to psychiatric and psychological treatment	Each has at all times	Each has during possession	Solely Mother	Solely Father	Each has independently	Each has by agreement	Consultation with other Conservator Required	ProposedAgreed
Right to represent the child in legal action and to make other decisions of substantial legal significance concerning the child	Each has at all times	Each has during possession	Solely Mother	Solely Father	Each has independently	Each has by agreement	Consultation with other Conservator Required	ProposedAgreed
Right to consent to marriage and enlistment in armed services of U.S.	Each has at all times	Each has during possession	Solely Mother	Solely Father	Each has independently	Each has by agreement	Consultation with other Conservator Required	ProposedAgreed
Right to make decisions concerning the child’s education	Each has at all times	Each has during possession	Solely Mother	Solely Father	Each has independently	Each has by agreement	Consultation with other Conservator Required	ProposedAgreed
Right to services and earnings of the child, except as provided by section 264.0111 of the Texas Family Code (state custody or foster care)	Each has at all times	Each has during possession	Solely Mother	Solely Father	Each has independently	Each has by agreement	Consultation with other Conservator Required	ProposedAgreed
Except when a guardian of the child’s estate or a guardian or attorney ad litem has been appointed for the child, the right to act as an agent of the child in relation to the child’s estate if the child’s action is required by a state, the U.S., or a foreign government	Each has at all times	Each has during possession	Solely Mother	Solely Father	Each has independently	Each has by agreement	Consultation with other Conservator Required	ProposedAgreed
Duty to manage the child’s estate to the extent the estate has been created by community property or the joint property of the parents	Each has at all times	Each has during possession	Solely Mother	Solely Father	Each has independently	Each has by agreement	Consultation with other Conservator Required	ProposedAgreed
Right to Apply for Passport	Each has at all times	Each has during possession	Solely Mother	Solely Father	Each has independently	Each has by agreement	Consultation with other Conservator Required	ProposedAgreed
Right and duty to prepare and file income tax returns for the child’s estate	Each has at all times	Each has during possession	Solely Mother	Solely Father	Each has independently	Each has by agreement	Consultation with other Conservator Required	ProposedAgreed

Please fill out what you desire for the following:
Geographic Residency Restriction (Select) County of Residency School District Miles AgreedProposed
School District or Private School:
Does Visitation need to be supervised or restricted? Explain.

Visitation Schedule	Proposed or Agreed
	Standard Visitation Schedule (During School Term 1st, 3rd and 5th Friday at 6:00 p.m. to following Sunday at 6:00 p.m. During School Term every Thursday night from 6:00 p.m. to 8:00 p.m. Standard Holiday Schedule. Thirty days in the summer)
	Expanded Standard Visitation Schedule (Same as above except pick up at school on every Thursday and return to school every Friday. On 1st, 3rd and 5th weekends pick up at school on Friday and return to school on Monday.)
	One week on one week off schedule exchanges begins on day of the week at time.
	Different schedule as stated below (fill in Mother or Father on each day with times)

Child Support Agreed $ or by guidelines based on $ income of paying parent.
Who carries medical insurance currently? How much is insurance for children only?
Please list any other concerns.

Please leave this field empty.

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