New Enrollments for All

If you don’t have all the information ready now, be sure to click the “Save and Continue Later” link at the end of this form.

Sponsorship Form

Step 1 of 7

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Personal Information

First Name, Last Name(Required)

First Last

Email Address, Confirm Email Address(Required)

Enter Email Confirm Email

Home Address(Required)

Address Line 1 Address Line 2 City State Zip

Membership Application

Create a username to log-in to your account.(Required)

Do not enter an email address. You may enter letters and numbers. When your account is approved, you will be issued a TEMPORARY password.

Phone Number(Required)

Who sponsored you Into CannaSense? (Optional)

Enter your sponsor's first and last name OR their sponsor number. This field is optional.

Hidden

If the above information is pre-filled and INCORRECT, please enter your sponsor's first and last name OR their sponsor number.

Are you 18 years of age or older? Recreational users must be at least 21 years old.(Required)

Yes

If you are under 21 years old, a DOCTOR'S RECOMMENDATION or STATE MEDICAL ID, is required. Children under 18 must be accompanied by an adult.

What part of CannaSense are you interested in?(Required)

Recreational Account

Patient Account

Other

Please review: Membership Agreement. & Guidelines and Standards.

Do you agree to the terms of the CannaSense Total Wellness Membership Agreement?(Required)

Yes

Please enter your first and last name as your electronic signature for entering into the CannaSense Total Wellness Membership Agreement and Guidelines & Standards.

First Name, Last Name(Required)

First Last

Proof of Eligibility

Upload your government issued photo ID. This is required to validate your account.(Required)

Drop files here or

Max. file size: 64 MB.

Upload your doctor recommendation below.

Drop files here or

Max. file size: 64 MB.

(NOTE: DO NOT SUBMIT THIS FORM WITHOUT YOUR RECOMMENDATION IF YOU ARE GOING TO BE A PATIENT ACCOUNT.)

The Doctor's visit is with an independant organization, with no ties to the CannaSense Total Wellness Collective. You must pay for the Doctor's services separately. You may get your California Recommendation using any provider. For a medical exam, click here.