School Assembly Request Form

Event Contact Name:*

First Last

Event Contact Phone Number:*

Event Contact Email Address:*

Event Date*

Even Start Time

:

Event End Time

:

Where will the event take place?*

Street Address Address Line 2 City State ZIP Code

Can your client provide discounted or free housing accommodations?

Can you provide a tent, table, and/or cooler with ice for our staff to use during the event?

Yes
No

How many students do you expect to attend?*

Location:

Indoor
Outdoor

Is there a rain plan?

Yes
No

Do you have a picture of the space?

Drop files here or

Max. file size: 40 MB, Max. files: 3.

Wide angle shots appreciated! If you have done events in the space, please provide shots that show people in the space.

Is your school public or private?*

Public
Private

What is the purpose of this event? (Why are you bringing students together? What is your end goal? etc.)

Do you have any partners for this event/assembly outside your school?

Would you like Rock The Bike to speak at your assembly?

A quality emcee helps create a cohesive vibe and ensures smooth transitions, and we have several crew members who can play this role at no additional charge. Let us know ahead of time so our team is prepared to support you in this capacity.

Yes
No

What topics do you want to emphasize?

Your audience will likely be curious about some of the following topics that spur from pedaling at your event. Let us present them with compelling facts and humor:

Presenting How It Works: The science and design of Pedal Power systems
Planting Seeds for Transformation: Why ride bikes? And other personal choices that can have a collective impact.
Where does Pedal Power fit into the bigger environmental picture?

Aside from or in addition to an assembly, which of the following activities are you interested in?

Select All
Hands on sessions: How to build a pedal power system
Pedal Powered Spin Art
Pedal Powered Phone Charging
Pedal Powered Spin Class
Pedal Powered Stage
Pedal Powered DJ Booth
Pedal Powered Lighting Rig
Live on Bike Mobile Music

Do you have a budget for our services?*

Fees range from approximately $300 to 2500 per day depending on the nature of the event. We do a certain number of discounted and pro-bono appearances each year including school visits.

Yes
No

Budget Assistance

If you think your event falls in this category, please take extra care to address the following:

Is your event a fundraiser?

Yes
No

Who are the beneficiaries?

Is your organization a 501c3 nonprofit?

Yes
No

Does your event have a corporate sponsor or sponsors?

Yes
No

Please list all corporate sponsors:

Does your event have a major funder?

Yes
No

Please list all major funders:

What is the overall budget of your event?

Smoothie Booth

Are there any dietary restrictions that we should be aware of?

Yes
No

Please list all dietary restrictions.

Does this location have easy access to water and bathroom facilities?

Yes
No

Lighting Rigs

Do you want to illuminate a landmark, place, natural feature? If so please describe.

If you imagine that we'll be accenting a specific object such as a statue, tree, waterfall, pathway, building, NBA basketball player, or gigantic wedding cake, please describe it and then upload us photos using the file link below.

Drop files here or

Max. file size: 40 MB, Max. files: 3.

Wide angle shots appreciated! If you have done events in the space, please provide shots that show people in the space.

Do you want to illuminate a specific symbol, pattern, word, or logo? If so please describe:

How do you want this to feel?

Pedal Powered Stage Services

Factors like crowd size, nature of the music you want to present, and whether you envision lots of kids participating all affect the cost of bringing the Pedal Powered Stage to your event. Please take a moment to respond to the questions below. Once we receive your survey we’ll contact you within 1 day.

If this is a nighttime performance, do you need us to provide stage lighting?

Yes
No

Got a photo you can share? Photos of past events in this space are extremely helpful.

Drop files here or

Max. file size: 40 MB, Max. files: 3.

Got a photo of the seating plan?

Max. file size: 40 MB.

Does this location have easy access to water and bathroom facilities?

Yes
No

If this is a public space, have you secured the necessary permits for your event such as venue, sound, etc.?

Yes
No

What is the largest number of people listening at one time?

Do you have an elevated stage? (Rock The Bike doesn’t provide one but we can help you pick the size.)

Yes
No
No, but would like help

Do you already have any of the following technical requirements covered?

Select All
PA system (we generally prefer to provide a complete PA system because we know exactly how much power it will use for a given crowd size)
Sound Technician
Backline drums and amplifiers (if applicable)Third Choice

Do you anticipate needing pedal power for devices beyond our audio equipment? Examples: cell phones, projector, lighting, recording gear

Yes
No

If yes, please list:

Who are the featured acts at your event?

Do you want to work with performers in the Rock The Bike community?

Yes
No
Maybe

(Hear Sample)

Do you have a stage manager, or would you like us to serve as stage management for this event?

We have it covered.
Rock The Bike manages