Revised07312013
Decal Issued: ________
TEXAS WOMAN’S UNIVERSITY
BICYCLE REGISTRATION FORM
Bicycles shall be operated in accordance with the traffic rules and regulations of this university and with state
and local laws. Bicycles shall not be permitted inside university buildings and or residence halls. Bicycles
should be secured by lock to a bicycle rack when not in use. Bicycles should not be secured in a manner that
blocks passageways. Bicycles must display a free university registration permit. The above diagram shows
the general location of bicycle serial numbers. Permits are to be placed on the right front fork.
Owner Name: _____________________________________________ DL#:________________ST:____
Student/Faculty/Staff ID: __________________-___________________ Birth Date: ___/___/____
Address: _____________________________________________________________________________
City: _________________ State: ______ Zip Code: ___________ Phone: ____________________
Bicycle Serial Number: Wheel Size:
Make: Gears:
Model: Other:
Primary Color(s):
Secondary:
By my signature on this form I affirm that I will read and comply with all parking rules and regulations as
published in the TWU Traffic Parking Regulations. I further understand that I am subject to the penalties
designated in these regulations.
Signature: ________________________________________________ Date: _____/_____/_____
TX
TX
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