Wrapped'N Ready: Sexual Health Order Form

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This form is intended to assist Trent University students in accessing contraceptives and other sexual health supplies for free and in a discrete way.

Your in-person pick-up in the TCSA office will be in discrete packaging and include your student number for identification. There will be no identifying features to indicate that the package contains sexual health supplies.

Order forms will be kept confidential and secure. There is no limit to how many times you can place an order.

You will receive an email from info@trentcentral.ca when your order is ready.

Students seeking sexual health and relationship resources can visit this link: https://www.peterboroughpublichealth.ca/your-health/sexual-health-clinic/

If you have further questions about this program please contact:

Zoe Litow, Services Manager (she/they), services@trentcentral.ca

Please provide your student number. *

Please provide a primary contact email. *

Please select a condom type(s) you would like to receive (If you want a multipack, please only select that option). Please note that condom availability is subject to change.

Multi Pack (includes a variety of different condoms offered above).

ONE Brand Super Studs

ONE Brand Plain Lubricated

ONE Brand Extreme Ribbed

Atlas Brand X Large

Atlas Brand True Fit

SKYN Non-Latex Condoms

Lifestyles Brand Original Lubricated

How many condoms would you like to receive?

Clear selection

Would you like an Ultra Sensitive Pregnancy Test included these in your package?

Yes

Clear selection

Please select what lubricant options you would like to receive, if any.

Lux Silicon based Personal Lubricant

OASIS Lubricant Water Based

Lifestyle Aloe and Vitamin E Personal Lubricant

How many lubricants would you like to receive?

Clear selection

Please select what dental dam options you would like to receive, if any.

Harmony Latex

Harmony Non-Latex

How many dental dams would you like to receive?

Clear selection

I agree that I am responsible for picking up my order from the TCSA lockers located on the second floor of the Trent Student Centre outside the TCSA office. I understand that I will receive an email with instructions for pick up.

*Orders not picked up within one week of fulfilment will be cancelled.

I agree / understand

Required

Submit

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