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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