2. Bicycle Registration Form
   This form enables you to register your bicycle without having to make a trip to the Nampa Police Department in person.
4. Please Note:
   That after registering your bicycle at this time you will not receive a sticker in the mail for you bike as some are accustomed to. You should receive a confirmation email shortly that we have received the information you sent regarding you bicycle.
6. Full Name (this person must be an adult)*
8. Birth Date:*
   Birth Date:
10. E-Mail
11. Contact Phone Number
13. Address*
15. City*
16. State*
17. Zip-code*
21. Bike Serial Number*
22. Color*
24. Make
25. Model
26. Size
28. Type of bike
30. Additional Features - specific marks, accessories, lights, speedometers, etc...
Leave This Blank:


32. 1. Receive an email copy of this form.
33. Email address

    This field is not part of the form submission.

34. Submit

* indicates a required field