The document is a behavior contract that outlines specific behaviors for a child to change, rewards for meeting goals, consequences for not meeting goals, and strategies for the child to use. The child and parents would sign the contract to agree to the terms.

1. Behavior
contract
I ________________ agree to make the following behavior changes:
1. _______________________________________________________________________________
2. _______________________________________________________________________________
3. _______________________________________________________________________________
4. _______________________________________________________________________________
5. _______________________________________________________________________________
6. _______________________________________________________________________________
7. _______________________________________________________________________________
8. _______________________________________________________________________________
The rewards will be:
1. _______________________________________________________________________________
2. _______________________________________________________________________________
3. _______________________________________________________________________________
4. _______________________________________________________________________________
5. _______________________________________________________________________________
6. _______________________________________________________________________________
7. _______________________________________________________________________________
8. _______________________________________________________________________________
The consequences will be:
1. _______________________________________________________________________________
2. _______________________________________________________________________________
3. _______________________________________________________________________________
4. _______________________________________________________________________________
5. _______________________________________________________________________________
6. _______________________________________________________________________________
7. _______________________________________________________________________________
8. _______________________________________________________________________________
I will complete these goals using the following strategies:
1. _______________________________________________________________________________
2. _______________________________________________________________________________
3. _______________________________________________________________________________

2. 4. _______________________________________________________________________________
5. _______________________________________________________________________________
6. _______________________________________________________________________________
7. _______________________________________________________________________________
8. _______________________________________________________________________________
Childs signature: ____________________________
Mother's signature: __________________________
Father's signature: ___________________________