NOLA to Angola 2017 Registration
Please fill out this form completely. Riders will be chosen based on a random lottery, with those directly impacted by incarceration prioritized. Please contact us at info@nolatoangola.org if you have any questions.
First Name
Your answer
Last Name
Your answer
E-mail
Your answer
Phone
Your answer
Emergency Contact #1 Name
Your answer
Emergency Contact #1 Phone
Your answer
Emergency Contact #2 Name
Your answer
Emergency Contact #2 Phone
Your answer
Food allergies / medical conditions / special food restrictions or concerns
Your answer
Do you live in New Orleans or the surrounding area?
Are you directly impacted by incarceration? (For example, you or an immediate family member has been incarcerated) ***this gives you priority registration status***
Have you done the NOLA to Angola ride before?
Do you want to be added to NOLA to Angola's weekly prison activism newsletter?
Do you need help securing an appropriate bicycle for the ride?
Do you have a tent?
Other skills I would bring to the ride include...
Are you registering alone?
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