Bicycle Registration

2. Please fill out the form below to register your bicycle with the Menlo Park Police Department.
4. First and Last Name*
5. Phone Number*
6. Email Address*
8. Address*
10. Make and Model of Bicycle*
11. Serial Number of Bicycle*
12. Number of Speeds*
14. Men's or Women's Frame*
15. Color of Bicycle*
17. Please upload the following images (optional). This will help us to more quickly identify and return your bicycle to you in the event it is ever lost/stolen.
19. Full Image of the Entire Bicycle
    (Optional)
20. Image of the Bicycle's Serial Number
    (Optional)
Leave This Blank:


22. 1. Receive an email copy of this form.
23. Email address

    This field is not part of the form submission.

24. Submit

* indicates a required field