Bicycle Registration Form

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.

   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.

   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