(1) I am a California resident who is at least 21 years of age;

(2) I have a valid California issued Driver's License or Identification Card; and (3) I

have a valid written approval or recommendation by a licensed California physician to use

medical cannabis for my documented medical condition(s).

As a qualified medical cannabis patient protected by California law, you are required to read and to

agree with the following statements to become an Associate Member of HEALTHY HEALING HOLISTIC

OPTIONS, a California nonprofit mutual benefit corporation (hereinafter, the Collective). After reading the

following statements, please sign and date in the space provided below to certify that you have read,

understood, and that you agree with each statement, and that you agree to abide by the terms of this

Agreement, the Bylaws of the Collective, and all policies and procedures of the Collective.

I. I understand that the Collective consists of qualified medical cannabis patients who are residents of

the State of California and who have voluntarily joined together to share resources in connection with the

cultivation, transportation and distribution of medical cannabis for each other's respective medical

condition(s). As a qualified patient, I choose to become an Associate Member of the Collective.

II. I hereby appoint and designate the Collective and its representatives as my true and lawful agents

for the limited purpose of assisting me in my medical cannabis needs. I understand this means that the

Collective, by and through its members, may cultivate, purchase, possess, transport and distribute medical

cannabis to me, with me, or from me (as applicable) and I grant them the authority to do so.

III. I understand that the Collective intends to operate in full compliance with all applicable

California laws, and I agree to not take any actions which may cause violations of such laws or otherwise

jeopardize the ability of the Collective to operate.

IV. I understand that all application fees (if applicable) and membership fees (if applicable) paid to

the Collective will be used by the Collective to reimburse for actual expenses and reasonable costs associated

with the operation of the Collective. In addition, I understand that in order to remain a viable nonprofit entity

the Collective must charge its members for medical cannabis, and that the Collective will only charge an

amount that allows for it to cover its actual expenses and reasonable costs associated with the operation of the

Collective, including all overhead expenses, a reasonable salary for any one or more of its officers as

determined by the Board of Directors of the Collective, and an appropriate amount of reserve funds to be

used for improvements to the Collective's operations, emergencies, repairs, or as otherwise determined by the

Board of Directors of the Collective.

I. I agree to provide my valid California physician's recommendation for medical cannabis use

and my valid California Driver's License or California Identification Card to a representative of the

Collective each and every time I obtain medical cannabis from the Collective, provide medical cannabis to

the Collective, or otherwise engage in any dealings with the Collective or its members pertaining to cannabis.

In addition, I authorize the Collective to make photocopies of such documents and to keep such photocopies

with the Collective's business records, which may be digital, physical, or both. I acknowledge that theĀ 

Collective will attempt to keep such personal information confidential, but may be required by law, court

order, or otherwise to reveal any or all of such information to third parties, including local, state, and/or

federal authorities.

VI. I agree that only I or my designated caregiver (who must also be a member of the Collective)

will interact with the Collective in regards to obtaining medical cannabis from the Collective, providing

medical cannabis to the Collective, or otherwise engaging in any dealings with the Collective or its members

pertaining to cannabis.

VII. I agree to not share, sell or distribute any medical cannabis I obtain through the Collective

with any person or entity who is not a member of the Collective.

VIII. I understand that the Collective requires that I provide my current and valid e-mail address for

purposes of the Collective providing me with notices of meetings, events, and other information, and I agree

to the terms of the Consent to Electronic Transmission document which I have signed and included herewith.

IX. I agree that no photos, video recordings, weapons, illegal drugs or dangerous activities are

permitted at any location owned, leased or controlled by the Collective.

X. I hereby authorize my California physician who recommended that I use medical cannabis to

release my personal healthcare information concerning my medical diagnosis, condition, and medical

cannabis recommendation to the Collective. I acknowledge that the Collective will attempt to keep such

personal healthcare information confidential, but may be required by law, court order, or otherwise to reveal

any or all of such information to third parties, including local, state, and/or federal authorities.

XI. I agree to promptly contact the Collective if there are any changes to my contact

information, primary caregiver (if applicable), or the status of my medical cannabis recommendation.

XII. By providing my number I agree to be contacted by Healthy Healing Holistic Options or it's

partners about exclusive promotions, location changes, or emergency updates, and I may opt out at any time.

Message and data rates may apply.