Return to City of La Grange

Complete all of the information on the registration form
except for the registration number. This will be filled in
by the police. Be certain to enter the serial number.
You must be able to furnish this number if your bicycle is
lost or stolen so also record the number and keep in a
safe place.

Bring your bicycle and a completed copy of this
registration to the La Grange Police Department.

The department will place a registration sticker on your
bike.
Bicycle Registration
LA GRANGE POLICE DEPARTMENT
243 S College
La Grange TX 78945
(979) 968-5806
fax (979) 968-2672
LA GRANGE POLICE DEPARTMENT
REGISTRATION IS SIMPLE:
This bicycle registration form allows you to register your
bicycle with the La Grange Police Department. The
information on this form will assist the police in identifying
your bicycle in the event it is lost or stolen. If your bicycle
is lost or stolen, report it to the La Grange Police
Department immediately by calling the Department's non-
emergency phone number 979-968-5806.
Bicycle Registration #________________________________________

Bicycle Registration Date______________________________________

Make/Model/Type/Description__________________________________

Name (First, Last)___________________________________________

Address____________________________________________________

City_______________________________________________________

Parent/Guardian (printed) Name________________________________

Parent/Guardian DL#_________________________________________

Bike Serial #________________________________________________

Home Phone (_____) _____ - _________

Work Phone (_____) _____ - _________

Parent/Guardian Signature_____________________________________