Bicycle Registration



* indicates field is required.

* Last Name:
 

* First Name:


Email:
 

* Phone #:
 

* Address:


* Bicycle Make:


Bicycle Model:

* Serial #:


* Type:



* Color:


School:

In registering this bicycle, I certify that the serial number entered is the same number as stamped on the bicycle owned by me, and that the bicycle is equipped with a working headlight, brakes and a red reflector showing to the rear of the bicycle, all in conformity with City of Oshkosh municipal code section 27-64.