District: the Public Schools of the Tarrytowns

______School District

Student Name:______

Student DOB:______

Bus / Route #:______

Month/Year: September 2006 Special Transportation Service Log

Please indicate the exact mileage for each trip transported

Sunday / Monday / Tuesday / Wednesday / Thursday / Friday / Saturday
1
am / 2
pm
3 / 4
am / 5
am / 6
am / 7
am / 8
am / 9
pm / pm / pm / pm / pm
10 / 11
am / 12
am / 13
am / 14
am / 15
am / 16
pm / pm / pm / pm / pm
17 / 18
am / 19
am / 20
am / 21
am / 22
am / 23
pm / pm / pm / pm / pm
24 / 25
am / 26
am / 27
am / 28
am / 29
am / 30
pm / pm / pm / pm / pm

am:

Pick-Up Location:______Drop-off Location______

pm:

Pick-Up Location:______Drop-Off Location______

Signature:Date:

______School District

Student Name:______

Student DOB:______

Bus / Route #:______

Month/Year: October 2006 Special Transportation Service Log

Please indicate the exact mileage for each trip transported

Sunday / Monday / Tuesday / Wednesday / Thursday / Friday / Saturday
1 / 2
am / 3
am / 4
am / 5
am / 6
am / 7
pm / pm / pm / pm / Pm
8 / 9
am / 10
am / 11
am / 12
am / 13
am / 14
pm / pm / pm / pm / pm
15 / 16
am / 17
am / 18
am / 19
am / 20
am / 21
pm / pm / Pm / pm / pm
22 / 23
am / 24
am / 25
am / 26
am / 27
am / 28
pm / Pm / pm / pm / pm
29 / 30
am / 31
am
pm / Pm

am:

Pick-Up Location:______Drop-off Location______

pm:

Pick-Up Location:______Drop-Off Location______

Signature:Date:

______School District

Student Name:______

Student DOB:______

Bus / Route #:______

Month/Year: November 2006 Special Transportation Service Log

Please indicate the exact mileage for each trip transported

Sunday / Monday / Tuesday / Wednesday / Thursday / Friday / Saturday
1
am / 2
am / 3
am / 4
pm / pm / pm
5 / 6
am / 7
am / 8
am / 9
am / 10
am / 11
pm / pm / pm / pm / pm
12 / 13
am / 14
am / 15
am / 16
am / 17
am / 18
pm / pm / pm / pm / pm
19 / 20
am / 21
am / 22
am / 23
Holiday / 24 / 25
pm / pm / pm / No School / No School
26 / 27
am / 28
am / 29
am / 30
am
pm / pm / pm / pm

am:

Pick-Up Location:______Drop-off Location______

pm:

Pick-Up Location:______Drop-Off Location______

Signature:______Date:______

______School District

Student Name:______

Student DOB:______

Bus / Route #:______

Month/Year: December 2006 Special Transportation Service Log

Please indicate the exact mileage for each trip transported

Sunday / Monday / Tuesday / Wednesday / Thursday / Friday / Saturday
1
am / 2
pm
3 / 4
am / 5
am / 6
am / 7
am / 8
am / 9
pm / pm / pm / Pm / pm
10 / 11
am / 12
am / 13
am / 14
am / 15
am / 16
pm / pm / pm / Pm / pm
17 / 18
am / 19
am / 20
am / 21
am / 22
am / 23
pm / pm / pm / pm / pm
24 / 25
No / 26

No

/ 27

No

/ 28

No

/ 29

No

/ 30/31
School /

School

am:

Pick-Up Location:______Drop-off Location______

pm:

Pick-Up Location:______Drop-Off Location______

Signature:______Date:______

______School District

Student Name:______

Student DOB:______

Bus / Route #:______

Month/Year: January 2007 Special Transportation Service Log

Please indicate the exact mileage for each trip transported

Sunday / Monday / Tuesday / Wednesday / Thursday / Friday / Saturday
1
am / 2
am / 3
am / 4
am / 5
am / 6
pm / pm / pm / pm / pm
7 / 8
am / 9
am / 10
am / 11
am / 12
am / 13
pm / pm / pm / pm / pm
14 / 15

No

/ 16
am / 17
am / 18
am / 19
am / 20

School

/ pm / pm / pm / pm
21 / 22
am / 23
am / 24
am / 25
am / 26
am / 27
pm / pm / pm / pm / pm
28 / 29
am / 30
am / 31
am
pm / pm / pm

am:

Pick-Up Location:______Drop-off Location______

pm:

Pick-Up Location:______Drop-Off Location______

Signature:______Date:______

______School District

Student Name:______

Student DOB:______

Month/Year: February 2007 Special Transportation Service Log

Please indicate the exact mileage for each trip transported

Sunday / Monday / Tuesday / Wednesday / Thursday / Friday / Saturday
1
am / 2
am / 3
pm / pm
4 / 5
am / 6
am / 7
am / 8
am / 9
am / 10
pm / pm / pm / pm / pm
11 / 12
am / 13
am / 14
am / 15
am / 16
am / 17
pm / pm / pm / pm / pm
18 / 19
am / 20
am / 21
am / 22
am / 23
am / 24
pm / pm / pm / pm / pm
25 / 26
am / 27
am / 28
am
pm / pm / pm

am:

Pick-Up Location:______Drop-off Location______

pm:

Pick-Up Location:______Drop-Off Location______

Signature:______Date:______

______School District

Student Name:______

Student DOB:______

Month/Year: March 2007 Special Transportation Service Log

Please indicate the exact mileage for each trip transported

am:

Pick-Up Location:______Drop-off Location______

pm:

Pick-Up Location:______Drop-Off Location______

Signature:______Date:______

______School District

Student Name:______

Student DOB:______

Month/Year: April 2007 Special Transportation Service Log

Please indicate the exact mileage for each trip transported

Sunday / Monday / Tuesday / Wednesday / Thursday / Friday / Saturday
1 / 2
am / 3
am / 4
am / 5
am / 6
am / 7
pm / pm / pm / pm / pm
8 / 9
am / 10
am / 11
am / 12
am / 13
am / 14
pm / pm / pm / pm / pm
15 / 16
am / 17
am / 18
am / 19
am / 20
am / 21
pm / pm / pm / pm / pm
22 / 23
am / 24
am / 25
am / 26
am / 27
am / 28
pm / pm / pm / pm / pm
29 / 30
am
pm

am:

Pick-Up Location:______Drop-off Location______

pm:

Pick-Up Location:______Drop-Off Location______

Signature:______Date:______

______School District

Student Name:______

Student DOB:______

Month/Year: May 2007 Special Transportation Service Log

Please indicate the exact mileage for each trip transported

Sunday / Monday / Tuesday / Wednesday / Thursday / Friday / Saturday
1
am / 2
am / 3
am / 4
am / 5
pm / pm / pm / pm
6 / 7
am / 8
am / 9
am / 10
am / 11
am / 12
pm / pm / pm / pm / pm
13 / 14
am / 15
am / 16
am / 17
am / 18
am / 19
pm / pm / pm / pm / pm
20 / 21
am / 22
am / 23
am / 24
am / 25
am / 26
pm / pm / pm / pm / pm
27 / 28
Memorial Day / 29
am / 30
am / 31
am
No School / pm / pm / pm

am:

Pick-Up Location:______Drop-off Location______

pm:

Pick-Up Location:______Drop-Off Location______

Signature:______Date:______

______School District

Student Name:______

Student DOB:______

Month/Year: June 2007 Special Transportation Service Log

Please indicate the exact mileage for each trip transported

am:

Pick-Up Location:______Drop-off Location______

pm:

Pick-Up Location:______Drop-Off Location______

Signature:______Date:______