Boro Park Shomrim June 4th,2023 Bike Registration Event: Pre-Registration
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Enter last name
Parents Details
Bike details
Get Pre-Registration No.
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You have reached capacity for online registrations. For additional registrations, please bring your bike and register at the bike registration event on June 12th, 2022
Your phone number is not yet registered with us. Please register your information and then proceed to add bicycle information.
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First Name
*
Last Name
*
Address
Apartment
City
State
Zip
Phone Number
*
Cell Phone/Other
Registrant Information
If the preloaded profile information is no longer accurate, please visit a Shomrim member at the bike registration to update your profile.
Child's first name
*
Parent
Last Name
Address
Apartment
Phone Number
Cell Phone/Other
Type
*
Select
Bicycle
Electric Bike
Hover Board
Scooter
Stroller
Brand
Model
Primary color
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Other
Black
Blue
White
Ivory
Orange
Navy
Red
Pink
Yellow
Mint
Golden
Green
Grey
Burgundy
Beige
Purple
Maroon
Silver
Lavendor
Brown
Other Primary Color
Secondary color
Select
Other
Black
Blue
White
Ivory
Orange
Navy
Red
Pink
Yellow
Mint
Golden
Green
Grey
Burgundy
Beige
Purple
Maroon
Silver
Lavendor
Brown
Other Secondary Color
How do you lock the Bicycle?
Select
Other
Cable
Chain
U-Lock
None
Other Lock
Where do you keep the Bicycle?
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Other
Backyard
Basement
Front Yard
Garage
House
Indoors
Outdoors
Shed
Other keep Bike
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