Bicycle and Personal Electric Transportation Device Registration Form

If you see this don't fill out this input box.

*First Name

*Last Name

*Jag Number

*Campus Address

*Email

*Permanent Phone Number

Current Status

StudentFacultyStaff

*What is the transportation device you are registering? For example, bicycle, electric scooter, etc

*Make

*Model

*Primary Color

Secondary Color

*Serial Number

*Wheel Size

*Frame Type

Please click the checkbox below to complete user verification.