Bicycle Registration Form

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How the Program Works:

Owners of bicycles fill out a short registration form and place a small sticker on their equipment.  In the event the equipment is stolen advise the police department that the equipment is registered.  The serial number will be placed on the stolen property list of the NCIC.

Cost of Program:

FREE!  The program is 100% free.  The Park City Police Department provides all forms and stickers.

Please correct the field(s) marked in red below:

1

Last Name:

2
First Name:
3

Middle Name:

4

Date of Birth:
mm/dd/yyyy


5

Address:

Address:
6

City:

7

State:

8

Zip:

9

Phone:


10

Bicycle Size:

11

Type:

12

Color:

13

Make:

14

Model:

15

Serial Number (Required):

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