NOLA to Angola 2018 WAIT LIST
Thank you for your interest in riding and fundraising for Nola to Angola! Please fill out this form completely. Registration is now closed but you can sign up for the wait list below. Riders will be offered spots off the wait list on a first-come, first-serve basis. 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
Are you under 18? *
We will need to contact you with important info leading up to the ride. How do you prefer to be contacted? *
Required
We acknowledge that mass incarceration is one of many systems of oppression that disproportionately affects People of Color. This year we are offering priority registration to People of color, in hopes of building a space that chips away at these barriers. Please indicate your race below. (Leave blank if you prefer not to say.)
Your answer
We understand that mass incarceration affects many of us, and in a variety of ways. Nola to Angola will continue to provide priority registration to people directly impacted by incarceration. We define “directly impacted" as: you, or an family member/loved one, have been incarcerated for months or years. Please indicate the statement below that best describes you. *
Nola to Angola recognizes that a long-distance bike ride will never be accessible to all people of all abilities. If you would like to request reasonable accommodations to participate in the ride, please indicate your request and an organizer will follow up with you. We will make every effort to provide accommodations within the limits of our resources. (For example: accommodations might include: using a modified bike, interpreting services, planned check-ins with a ride medic, etc. )
Your answer
We are pleased to offer a scholarship option for people who are unable to cover their registration fee (sliding scale $60 - $100) and/or our fundraising requirement ($300). We can also offer a small stipend to make up for lost wages. Please indicate if you would like to request a scholarship and an organizer will follow up with you. *
Do you live in the New Orleans metropolitan area? *
Please tell us anything we need to know about your personal health needs that could affect you on the ride (i.e asthma, diabetes, severe allergies etc.) and/or any emergency medication you carry that we should be aware of.
Your answer
Do you have dietary restrictions? *
Required
Emergency Contact #1 Name *
Your answer
Emergency Contact #1 Phone *
Your answer
Emergency Contact #2 Name *
Your answer
Emergency Contact #2 Phone *
Your answer
Have you done the NOLA to Angola ride before? *
Do you need help securing an appropriate bicycle for the ride? *
Do you have a tent and supplies for sleeping outside? *
Other skills I would bring to the ride include...
Do you want to be added to NOLA to Angola's weekly prison activism newsletter? *
Are you registering alone or with a friend/family member? If you only feel comfortable doing the ride with another person, you have the option to register as a pair and you both will be entered into the lottery as one unit. Please register either as one person or as a pair, not both, or you'll be removed from the lottery. *
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