Medical Kit Request Form
Rugby Oregon's ATC contract stipulates each team carry a fully stocked medical kit. Below you will find the required products and quantities required. Please indicate the quantity you need, if any, and submit. New teams will receive a fully stocked medical kit.

NOTE - If you submit quantity 1 we will give you a quantity of 1. For example, if the suggested quantity for pre-wrap is 6 and you order 1 we are going to give you 1 roll of pre-wrap and not 1 order of 6 rolls. Similarly if you order 1 bandaid, we are going to give you 1 bandaid and not 1 order of the suggested quantity of 40. Please order accordingly so we can accurately pack your orders. Thank you!

Team Name *
Your answer
Ace Wrap, 6" - Qty 2
Your answer
Alcohol Prep Pads - Qty 20
Your answer
Bandaids, 1" - Qty 40
Your answer
Bandaids, Knuckle - Qty 10
Your answer
Benzoin Tincture - Qty 10
Your answer
Biohazard Bag - Qty 1
Your answer
Cavicide, 8oz - Qty 1
Your answer
Clippers, fingernail - Qty 1
Your answer
Emergency Blanket - Qty 1
Your answer
Eye Wash - Qty 1
Your answer
Flex-wrap, roll - Qty 1
Your answer
Gauze Pads, 3x3, sterile - Qty 50
Your answer
Gloves, nitrile, powder-free, med - Qty 50
Your answer
Hand Sanitizer, 4 oz - Qty 1
Your answer
Heel and Lace Pads - Qty 25
Your answer
Hydrogen Peroxide, 8 oz - Qty 1
Your answer
Ice Bags, pull n pak roll - Qty 1
Your answer
Microshield Mask - Qty 5
Your answer
Moleskin, economy 2" - 20 feet
Your answer
Non-Adherent Pads, 3"x4" - Qty 20
Your answer
Nose Plugs - Qty 20
Your answer
Pen Light - Qty 1
Your answer
Q-tips, 3" - Qty 10
Your answer
Sam Splint - Qty 1
Your answer
Scissors, Lister Bandage 5.5"
Your answer
Skin Lube, tube - Qty 1
Your answer
Sling, economy - Qty 1
Your answer
Pre Wrap - Qty 6 rolls
Your answer
Tape - cotton, elastic cloth (center red line) - Qty 3 rolls
Your answer
Tape - Jaylastic Stretchy - Qty 10 rolls
Your answer
Tape - Athletic - Qty 20 rolls
Your answer
Tape Cutter - Qty 1
Your answer
Tuf-Skin, 4 oz spray - Qty 1
Your answer
Tweezers, slant tip - Qty 1
Your answer
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