Bicycle Registration

* indicates field is required.

* Last Name:

* First Name:


* Phone #:

* Address:

* Bicycle Make:

Bicycle Model:

* Serial #:

* Type:

* Color:


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.