Become a Member


Member Registration

Step 1 of 2 - Membership Agreement

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  •      As a qualified patient protected by California Law, Health & Safety code 11362.5 and 11362.7, et seq., and, in conjunction with California State Senate Bill 420, you are required to read and agree to the following statements to become a member of Valle Vista Green Apple. Please understand that these are for your protection, as well as ours. Please read the following statements and initial that you have read each provided. This confirms that you have read each of the statements and understand them.
    1. I am legally able to use, possess, and cultivate cannabis for medical purposes. I understand that I am allowed to do so through safe and affordable access such as the type provided by Valle Vista Green Apple, therefore, designate Valle Vista Green Apple as my care provider for this purpose. In doing so, I agree to agree and follow all Valle Vista Green Apple’s rules and regulations regarding their services.
    2. I further authorize Valle Vista Green Apple to create and/or assign agency rights in its own name for the purpose of growing medication and/or obtaining edible forms of medication for my benefit.
    3. I also agree to pay all personal out-of-pocket expenses and reasonable compensation for Valle Vista Green Apple’s member services.
    4. I hereby declare under penalty of perjury under laws of the State of California that a medical doctor recommended or approved my use of medical marijuana. I have been diagnosed for a serious illness for which cannabis provides relief.
    5. I hereby verify that I am a California resident and my personal medical marijuana will not be taken out of the State of California. I further verify and agree that my medical marijuana shall not be shared, sold, bartered, traded, exchanged or delivered in any other means to any other person.
    6. I hereby declare and understand that my contributions to Valle Vista Green Apple and for and through prescribed medicinal products I may acquire from Valle Vista Green Apple are used to ensure the continued operation of Valle Vista Green Apple and that any said transaction in no way constitutes a commercial promotion or sale of any item.
    7. As a member, I hereby agree, appoint and designate Valle Vista Green Apple and their representatives, as my true and lawful agents for the limited purpose of assisting me in obtaining my legally prescribed medicinal marijuana. I understand that this means Valle Vista Green Apple will be required to purchase, possess, transport and distribute my medication to me as prescribed by my physician and I grant them the limited authority to do so. I further authorize Valle Vista Green Apple to share their primary caregiver status of my person in order to enter into contracts to obtain and/or allow growth/preparation of medication and edibles for my benefit.
    8. As a member, I understand that Valle Vista Green Apple has other members with similar membership agreements. I hereby authorize Valle Vista Green Apple to jointly possess the medicinal marijuana as described under this agreement jointly with other Valle Vista Green Apple members under similar membership agreements. I agree the medicinal marijuana possessed by Valle Vista Green Apple at any time is the collective property of every patient who is also under this membership agreement and the care of Valle Vista Green Apple.
    9. I agree to provide Valle Vista Green Apple with all changes in my contact information, diagnosis, or primary physician immediately.
         I hereby consent to the benefits provided by Valle Vista Green Apple. I understand that Valle Vista Green Apple has made no efforts in encouraging me to produce or use any substances for my medical condition. I have been informed by an authorized representative of Valle Vista Green Apple that I should continue to seek professional medical advice prior to and during my use of any cannabis product I may acquire through Valle Vista Green Apple. I understand that Valle Vista Green Apple was organized to fill the necessity of medical cannabis. I further understand that circumstances may require defense of authorization in a court of law and agree to participate in such defense to the extent necessary and practicable. I understand that Valle Vista Green Apple reserves the right to refuse service(s) to members. I affirm that I am above eighteen (18) years of age or have the consent of my parent/guardian, and that I have medical condition(s) as attested to on my information form. I understand that my contributions to Valle Vista Green Apple, through products I may acquire through the organization, are used to unsure continued operation of the Valle Vista Green Apple and that this transaction, in no way, constitutes commercial promotion.

         I understand that medical marijuana, while being a well-known effective therapeutic agent, is still illegal in this country. Therefore, by initialing and agreeing to this form, all members of Valle Vista Green Apple are committing an act of federal civil resistance.

         I authorize the Valle Vista Green Apple to acknowledge the fact of my membership, when needed, for the preservation of my medical rights under the compassionate use act of 1996.

    DISCLAIMER – GENERAL RELEASE, INDEMNIFICATION AND HOLD HARMLESS CLAUSE

         I, the patient, being of lawful age and sound mind, do now release, acquit, and forever discharge Valle Vista Green Apple herein referred to as owner, of Valle Vista Green Apple from all actions, claims, demands, or damages accruing to me from any known or unknown injury, loss, or damage sustained by or to me. This release shall remain in force and run concurrently with my membership in Valle Vista Green Apple. In witness whereof, I have executed this release in California. I further agree to indemnify and hold harmless Valle Vista Green Apple from any injuries or damages resulting from the use or misuse of medical marijuana obtained from Valle Vista Green Apple.