Form Center

2. The information you provide on this form will be used to process your registration. You are not legally required to provide this information, but we will not be able to process your registration without it. The information you provide is subject to the Maryland Public Information Act and is classified as public.

   Bicycle Registration is for City of Rockville residents only. Not all Rockville addresses are located within city limits. Verify you live within city limits by using our online map.

4. Bicycle Information
6. Serial Number*
8. Make*
10. Color
12. Type*

    1. Men/Boy
    2. Women/Girl
14. Unique Markings
16. To help identify the bicycle, you can choose to upload up to three images.
18. Bicycle Image
20. Bicycle Image
22. Bicycle Image
24. Owner Information
26. Full Name*
28. Street Address*
30. City*
32. Zipcode*
34. Phone*
36. Email*
Leave This Blank:


38. Submit

* indicates a required field