I, (print clearly)_______________________________, hereby
consent to the benefits provided by the Oakland Cannabis Buyers'
I understand that the OCBC 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 OCBC
that I should continue to seek professional medical advice prior
to and during my use of any cannabis product I may acquire through
I understand that the OCBC was organized to fill the necessity
of medical cannabis. Prompting the passing of the Oakland City
Council Resolution Number 72516 C.M.S., which supports the OCBC
operations. 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 the OCBC reserves the right to refuse service(s)
I affirm that I am above eighteen (18) years of age or have
the consent of my parent/guardian, and that I have a medical
condition(s) as attested to on my information form.
I understand that my contributions to OCBC, through products
I may acquire from the organization, are used to insure continued
operation of the OCBC and that this transaction, in no way, constitutes
I understand that medical marijuana, while being a well-known
effective therapeutic agent, is still illegal in this country.
Therefore, by signing this form, all members of OCBC are committing
an act of collective Federal civil resistance.
I authorize the OCBC to acknowledge the fact of my membership,
when needed, for the preservation of my medical rights under
the Oakland Resolution # 72516 and the Compassionate use Act