First Name Last Name Student ID Email Address Cell Phone Role Commuter Student Residence Student Faculty or Staff Bike Information Make Model Colour A deposit of $50 is required to secure a spot and will be returned after April 30th to your student account. Bikes can not be stored over the summer Insurance coverage is the owner's responsibility You are responsible to provide your own lock in the storage unit You are to respect the property of others storing bikes The bike shed is to remain locked at all times Bikes cannot be stored in campus buildings Initial Date Month MonthJanFebMarAprMayJunJulAugSepOctNovDec Day Day12345678910111213141516171819202122232425262728293031 Year Year20172018201920202021 Ambrose University is committed to safeguarding the personal information entrusted to us. We manage your personal information in accordance with Alberta’s Personal Information Protection Act and other applicable laws. Information collected in this form may be used to contact you regarding programs and services. It will form part of your record as an applicant, student, and alumnus and may be disclosed to academic and administrative units. All information is considered confidential and will be used and disclosed in accordance with privacy legislation. For more information regarding the collection or use of this information, please contact the Privacy Compliance Officer (403-410-2000 or e-mail email@example.com).