Bicycle Registration

Please pick up the registration sticker from the Campus Safety office (178 E. 11th St.) to place on your bicycle after completing this form. Registration is not complete until this sticker is issued to you in person.

You can check our website for more information on Hope's bicycle usage policy, where to place the sticker, and more. Visit hope.edu/admin/campsafe

First Name

This is a required question

Last Name

This is a required question

Birthdate

Sex

This is a required question

Home Address

Street

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Home Address

City

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Home Address

State

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Home Address

Zipcode

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Cell Phone Number

We recommend that you supply a contact number in case we need to get in touch with you about your bicycle.

This is a required question

Bicycle Serial Number

This is typically found on the underside of the bike frame.

This is a required question

Bicycle Make

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Bicycle Model

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Bicycle Color

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Style

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Condition

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Speeds

Please enter as a numeral.

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Wheel Size

(diameter in inches)

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Additional Information

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