PATTON VILLAGE POLICE DEPARTMENT BICYCLE REGISTRATION FORM

Patton Village residents can register their bicycle online!

Once submitted, your bicycle information will go into our database.  The Police Department recovers bicycles routinely.  Your registration information will assist us in prosecuting the thief and getting your bicycle back to you.

Fill out the form and click on "Submit". 

BICYCLE INFORMATION

MAKE -  

MODEL -

SERIAL NUMBER (Record very accurately)

 

COLOR(S) -  

SIZE -  

OWNER APPLIED NUMBER (If any)

 

OWNER INFORMATION

(Prefer information of parent if owner is child)

Name -  

Date of Birth -  

Address (Include City, State, Zip)

 

TELEPHONE -  

Email Address -  

If the bicycle belongs to a child, what is the child's name and age:

ANY ADDITIONAL IDENTIFYING INFORMATION