Bike Registration and Permit Request Form

Name(Required)

First Last

UT ID number(Required)

This is 6 digits - i.e. 123456

Local Street Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Cell Phone Number(Required)

Email(Required)

Please complete the following information

Serial Number(Required)

Bicycle Model(Required)

Bike Color(Required)

Permit #(s)

Date Issued

Who has fulfilled this request?

First Last

Request fulfilled by

Parking & Transportation

UT Outdoor Pursuits

Quick Links

Parking and Transportation

2121 Stephenson Drive
Knoxville, TN 37996

Phone: 865-974-6031
TDD: 865-974-6483
Email: parking@utk.edu

The University of Tennessee, Knoxville
Knoxville, Tennessee 37996
865-974-1000