LONG-DISTANCE RELATIONSHIP AGREEMENT

This Long-Distance Relationship Agreement (“Agreement”) is entered into on //______

(Effective Date), by and between:

Partner 1: ______________________________________ (Full Legal Name)

Address: ___________________________________________

Phone: ___________________________________________

Email: ___________________________________________

Time Zone: ___________________________________________

Partner 2: ______________________________________ (Full Legal Name)

Address: ___________________________________________

Phone: ___________________________________________

Email: ___________________________________________

Time Zone: ___________________________________________

WHEREAS, both parties voluntarily enter into this Agreement to establish clear
expectations, mutual understanding, and a framework for a healthy and fulfilling long-
distance relationship;

NOW, THEREFORE, in consideration of the mutual promises and covenants contained

herein, both parties agree to the following terms:

SECTION 1: PURPOSE & INTENT

1.1. This Agreement is intended to outline the principles, responsibilities, and expectations
for both parties in their long-distance relationship.

1.2. This Agreement is not legally binding but serves as a formal commitment to mutual
respect, honesty, and understanding.

1.3. Both parties acknowledge that long-distance relationships require dedication, trust,
and consistent communication to maintain a strong bond.

SECTION 2: COMMUNICATION & CONFLICT RESOLUTION

2.1. Both parties agree to maintain open, honest, and respectful communication at all
times.

2.2. Primary communication methods:

• Texting: ☐ Yes / ☐ No | Preferred app(s): ______________________

• Video calls: ☐ Yes / ☐ No | Frequency: ______________________

• Phone calls: ☐ Yes / ☐ No | Frequency: ______________________

• Emails/Letters: ☐ Yes / ☐ No | Frequency: ______________________

2.3. Time zone consideration: Both partners agree to be mindful of time differences and
plan communication accordingly.

2.4. Conflict resolution:

• No ignoring or ghosting during conflicts.

• Each partner agrees to communicate any concerns within ____ hours/days.

• If emotions are high, a cooling-off period of ____ hours before discussing is allowed.

• In case of major disputes, a mediator (friend/counselor) may be involved.

SECTION 3: TRUST, PRIVACY & BOUNDARIES

3.1. Both partners agree to respect each other’s privacy, including but not limited to:

• Phones, messages, and emails.

• Social media accounts and passwords (☐ Shared / ☐ Private).

• Personal friendships and daily activities.

3.2. If jealousy or insecurity arises, it must be communicated calmly.

3.3. Social Media Agreement:

• Posting pictures together: ☐ Yes / ☐ No | Frequency: _______________.

• Tagging in posts/stories: ☐ Yes / ☐ No.

• Relationship status displayed publicly: ☐ Yes / ☐ No.

• Other boundaries: _______________________________________.

⸻

SECTION 4: VISITS, TRAVEL & FUTURE PLANS

4.1. Visitation schedule: Both partners agree to visit each other:

• ☐ Monthly

• ☐ Every ___ months

• ☐ Annually

• ☐ Whenever possible

• ☐ No set schedule but planned in advance

4.2. Who will travel more frequently? ☐ Partner 1 | ☐ Partner 2 | ☐ Equal.

4.3. If unforeseen circumstances (e.g., work, health) prevent a visit, both parties agree to:

• Reschedule within: ____ weeks/months.

• Make up for it with: ☐ Extra virtual time | ☐ A surprise gift | ☐ Other: ________________.

4.4. Long-Term Plan for Closing the Distance:

• Expected timeline for living in the same location: ____________________.

• Steps to make relocation possible: _______________________________________.

• Any career, education, or family factors to consider: ______________________.

SECTION 5: EXCLUSIVITY & RELATIONSHIP STATUS

☐ This relationship is exclusive, and both partners commit to being monogamous.

☐ This relationship is non-exclusive, with clearly defined boundaries as follows:

________________________________________________________________________.

5.1. Any changes to exclusivity or commitment must be discussed and agreed upon by
both parties.

5.2. In cases of infidelity or breach of agreed-upon terms, the consequence(s) will be:
________________________________________________________________________.

SECTION 6: INTIMACY & AFFECTION

6.1. Both partners agree to maintain emotional and physical closeness despite the
distance.

6.2. Forms of virtual intimacy include:

• Love letters or messages: ☐ Yes / ☐ No | Frequency: _______________.

• Video date nights: ☐ Yes / ☐ No | Frequency: _______________.

• Physical visits involving intimacy: ☐ Yes / ☐ No.

6.3. Comfort levels regarding virtual intimacy (e.g., texting, video calls) must be discussed
openly.

SECTION 7: HEALTH, WELLNESS & SUPPORT

7.1. Both partners agree to support each other’s mental, emotional, and physical well-
being.

7.2. If one partner is struggling emotionally, they will communicate their needs by:

• Verbal discussion: ☐ Yes / ☐ No.

• Texting first: ☐ Yes / ☐ No.

• Seeking external support: ☐ Yes / ☐ No.

SECTION 8: SILLY & FUN AGREEMENTS

8.1. Pet names are required: ☐ Yes / ☐ No | Examples: _______________________.

8.2. Surprise messages/gifts are required at least once every ____ weeks.

8.3. Virtual movie or game nights must happen at least once every ____ weeks.

8.4. “I love you” must be said before ending calls: ☐ Yes / ☐ No.

8.5. Cheesy pickup lines are mandatory at least ____ times per month.

8.6. Dance-off challenges over video call are required: ☐ Yes / ☐ No.

8.7. Other fun rules: _______________________________________.

SECTION 9: MODIFICATIONS, TERMINATION & RENEWAL

9.1. This Agreement may be modified at any time through mutual discussion and written
consent.

9.2. This Agreement shall remain in effect until terminated by mutual agreement or due
to separation.

9.3. If the relationship ends, both partners agree to handle the separation with maturity
and respect.

9.4. Post-Breakup Agreements:

• Will remain friends: ☐ Yes / ☐ No.

• Will maintain communication: ☐ Yes / ☐ No.

• Will set a no-contact period of ____ months before reassessing.

☐ This Agreement shall be reviewed and renewed every ____ months.

SECTION 10: FINAL AGREEMENT & SIGNATURES

By signing below, both partners acknowledge that they have read, understood, and agreed
to the terms outlined in this Long-Distance Relationship Agreement.

Partner 1:

Signature: ___________________________

Printed Name: ___________________________

Date: //______

Partner 2:

Signature: ___________________________

Printed Name: ___________________________

Date: //______

Witness (if applicable):

Signature: ___________________________

Printed Name: ___________________________

Date: //