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2. Bicycle Registration Program

   Why register your bicycle? 

   • Registering your bicycle will assist the police department in identifying your bicycle in the event that it is lost or stolen. 
   • It is free and easy to do. 

   How to register your bicycle:      

   • See the form provided below, fill it out completely and bring it to the police department during  normal business hours (Monday-Friday 7:00 a.m. to 3:30 p.m.) An employee will review the  form and provide a sticker to be placed on your bicycle (preferably under the frame, beneath the seat). The number will be kept on file and in the event that your bicycle is found, lost, or stolen, the police department will be able to identify the bicycle and return it to you. 

   Questions?

   • Contact the Belle Plaine Police Department at 952-873-4307.

4. Owner Information

6. First Name
7. Last Name
9. Date of Birth
   Date of Birth
10. Gender
    -- Select One --FemaleMale
12. Parent First Name
13. Parent Last Name
15. Address
17. City
18. State
19. Zip Code
21. Phone Number
22. Alternate Phone Number

24. Bicycle Information

26. Make
27. Model
29. Size (Tire)
30. Color(s)
32. Description (Mt. Bike, BMX, etc.)
34. Serial Number
36. Other Information
Leave This Blank:


40. 1. Receive an email copy of this form.
41. Email address

    This field is not part of the form submission.

42. Submit

* indicates a required field