Bicycle Registration

To register your bicycle with the Gonzaga University Public Safety and Security Department, fill in the following form and press the Submit button. If you do not receive confirmation, please contact the Gonzaga University Public Safety and Security Department at (509) 313-3996. Completion of all fields is required for registration. You will receive a confirmation email from the Gonzaga University Public Safety and Security Department which includes a registration number. You may also update or cancel a previously registered bicycle with the Gonzaga University Public Safety and Security Department by selecting the appropriate checkboxes at the end of the form.
Do Not Edit:
Do Not Edit:
Do Not Edit:
Don't Edit This Field:
First Name:
Middle Name:
Last Name:
Address:
Address cont.:
City:
State:
Zip/Postal Code:
Home Phone:
Work Phone:
E-Mail Address:
What is your status?

Bicycle Information:

Make:
Type:
If 'Other', Describe:
Color (1):
Color (2):
Serial or Owner Applied Number: [?]
Other Identifiable Markings:
Wheel Size:
Frame Size:
Style: Men's Women's
Number of Speeds:
Check All That Apply: Handbrakes Headlight Taillight Reflector

If you are updating or cancelling your bicycle registration, be sure to include your name and registration number, along with any information to change and select the appropriate checkbox. Otherwise, leave the following section blank.

Registration #:
Update Bike Registration Cancel Bike Registration