Bike Registration
Full Name
*
First Name
Last Name
Student ID Number:
*
Permit #
CCU Issued Bike Lock Key Code:
Date Issued
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
2026 Summer Bike Registration:
Summer Storage
Main
E-mail
*
Cell Phone number
*
-
Area Code
Phone Number
Make of Bicycle
*
Model of Bicycle
Color
*
Serial #
A serial number is critical in order for the Police Department to track down a stolen bicycle. If you need help locating the serial number (usually on bottom of bicycle where the pedals join together), please bring the bicycle by the Security Office.
# of Speeds
Unique Identifiers
Please attach a photo of your bicycle here - angle should be a full side shot of entire bicycle (photo size must be less than 100 KB)
Browse Files
Cancel
of
Note:
Date
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Submit
Should be Empty: