•If you operate a bicycle, moped, or motorscooter please use this form to register your alternative mode of transportation for use on campus. Complete the registration form online, print it, and bring it to the Parking Operations & Campus Access Management (POCAM) office for processing. You will then be issued an alternative transportation registration and sticker. The POCAM office, adjacent to the Walker Avenue Parking Deck, is open Monday-Friday, 7:30am-5pm.
USER INFORMATION
Last Name:
First Name:
Middle Name:
Date:
Student ID Number:
Email Address:
Local Phone #:
Home Phone #:
Cell Phone #:
Home Address/Permanent Address:
Local/On Campus Address:
ALTERNATIVE TRANSPORTATION DESCRIPTION
Serial/VIN #:
Make:
Model:
Color (Repainted?):
Type:
Please provide features/additional equipment description such as Ubolt lock,
water bottle, etc.
I agree to abide by the UNCG Rules and Regulations. (Print form and return it to Parking Operations and Campus Access Management.)
(Signature) (Date)