Bicycle/Micromobility Device Registration Form

Bicycle/Micromobility Device Registration Form

The University of Tulsa
Please complete this form to register your bicycle/micromobility device:
Owners Name*

First NameLast Name
TU ID Number*
Classification*
Contact Number
Please enter a valid phone number.
Email Address*
example@utulsa.edu
Local Address*
Street
Local Address*
Street
Bicycle/Micromobility Brand*
Bicycle/Micromobility Year*
Bicycle/Micromobility Color*
Indicate if your Bicycle/Micromobility Device is electric *
Bicycle/ Micromobility Serial number
Please review The University of Tulsa Bicycle/Micromobility Device policy.
Have you reviewed Bicycle/Micromobility Device policy:*

Yes, I have reviewed the Bicycle/Micromobility Device policy.
Date

MonthDayYear
Date
Owner's Signature*

Clear
Should be Empty: