Bicycle Registration
Please complete the form if you'd like to register your bike. Once we receive and review the Bicycle Registration, we will mail out the sticker to the address provided. Be sure to fill out this application completely and ensure the information is accurate. As always, paper copies are also available in the Police Lobbies
Contact Information
Name
*
First Name
Middle Name
Last Name
Date of Birth
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
School (if applicable)
Back
Next
Bicycle Information
Bike Serial #:
*
Make/Model
*
New or Used
*
New
Used
Brakes
*
Hand (front or rear)
Coaster
Frame Style
*
Boys
Girls
Men
Women
Electric
Other
Wheel Size
*
16
20
24
26
27
Other
Speed
*
Coaster
3 speed
6 speed
18 speed
21 speed
Other
Please check if the following apply
*
Locking device
Legal reflectors
Please list color(s) for the following:
Frame
*
Fenders
*
Rims
*
Seat
*
If available, please include a photo of your bike
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Would you like to receive an email copy of this form?
*
Yes
No
Email Address
*
example@gmail.com
Submit
Should be Empty: