Bicycle Registration Form

Bicycle Registration Form
Directions:

This bicycle registration form is for registered LMU students, faculty, and staff ONLY. For questions about registration, please visit the Cycling Lion during regular business hours, Monday - Friday 11:00 am - 4:00 pm, or email the Cycling Lion at cyclinglion@lmu.edu.
Name*

First NameLast Name
LMU Email*
Ex. cyclinglion@lmu.edu
Phone Number*
Please enter a valid phone number.
LMU Affiliation *
Do you live on campus?*
Housing Location *
Housing Room Number *
BICYCLE INFORMATION
Serial Number *
Model *
Primary Color *
Accent Color *
Type of Bicycle *
Ex. Mountain, Road, Cruiser, etc.
Permit Number
To be filled in by Cycling Lion Staff
Please indicate any identifying markers on your bicycle:

BellLightsBasketHornBottle HolderOther (Please Specify)
Picture of Bicycle *

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BICYCLE OWNERS ARE RESPONSIBLE FOR COMPLYING WITH THE CYCLING LION'S BIKE POLICIES AVAILABLE ONLINE AT LMU.EDU/CYCLINGLION
I certify that the bicycle I am registering belongs to me and was obtained legally. I understand that registering my bicycle through the University's Cycling Lion Program is not a guarantee that my bicycle will be protected from theft or loss. I understand that registration of this bicycle cannont be transferred to a different owner or biycle, and that a new registration form must be completed. I am responsible for providing updated contact information should any of the above information change.
Signature*

Clear
Should be Empty:

Directions: