Bicycle Registration Form

Many bicycles are stolen annually and fortunately many of them are recovered. Unfortunately, many of those that are recovered never make it back to their owners. A recovered bike cannot be returned to its rightful owner unless the police department can positively link the bike and the owner. Take a few minutes to register your bike with us. We will then be able to return your property in the event of a theft and recovery. Bicycles registered with the DeMotte Police Department are kept as confidential records of the department and will not be released. This is a free service of the DeMotte Police Department.

Please fill in as much information as possible. Not all fields are required; If you can't fill in a field, leave it blank. Your registration will be e-mailed directly to the DeMotte Police Department when you Click on the submit button. Thank You!

YOUR INFORMATION:

Name: Address:

City: State:

Sex Date of Birth: Eye Color: Hair:

PHONE NUMBER:

BICYCLE INFORMATION:

Make: Model:

SERIAL#

Bike Speed Color: Boy or Girls:

ADDITIONAL INFORMATION:

Would you like us to contact you to confirm registration? Yes No

May we contact you if we need further information? Yes No

If yes, Please include the following contact information: ( you do not have to include all of the following)

Name: Phone# E-mail:

 

Hit the Back Button to return to the DeMotte Police Department Home Page.