Request Form

We’re here to support you in creating Sun Smart Schools. Please complete the form below to request more information or a toolkit, a school presentation, or a sunscreen dispenser and sunscreen.

Please note: Automatic sunscreen dispensers and sunscreen refill pouches are available for purchase from BrightGuard through NCC and Sun Smart Schools. By submitting your purchase request here, a portion of each sale benefits NCC and the Sun Smart Schools program. All billing and shipping is direct to you from BrightGuard.

Pricing is as follows:
Automatic sunscreen dispenser (mounts to wall or portable stand, includes 4 D batteries): $70
Portable stand: $100
1 case hybrid sunscreen for Nevada schools: $180
*Dispenser releases 1 ml of sunscreen per dose. Each case of sunscreen includes 4-1,000 ml pouches.

For information on sunscreen and ingredients, please visit the BrightGuard website.

Name Name

School, Company or Organization School, Company or Organization

Email Email

I would like I would like

Sunscreen Information

# of dispensers # of dispensers

# of portable stands # of portable stands

# of sunscreen cases (4 pouches per case) # of sunscreen cases (4 pouches per case)

Sunscreen request details Sunscreen request details

Shipping address Shipping address

Additional Request Comments Additional Request Comments

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